Pfizer

Vaccination occurred on 1/12 at 13:00. A few hours after the vaccination, I experienced muscle pain in the vaccinated arm. 1/13: I had trouble sleeping; left arm was in immense pain. 07:00: experiencing arm soreness, muscle pain, nausea, hot flashes; temperature = 99.5 08:20: experiencing arm soreness, muscle pain, hot flashes, chills, sensitivity to light; temperature = 100.6. Took 650mg acetaminophen. 09:00: experiencing arm soreness, muscle pain, sensitivity to light; temperature = 100.8 10:30: experiencing arm soreness, muscle pain; temperature = 99.2 11:15: experiencing arm soreness, muscle pain; temperature = 99.0 12:20: experiencing arm soreness, muscle pain; temperature = 98.0 Extremely fatigued; took nap (13:00-17:00) 17:00: experiencing arm soreness, muscle pain, headache; temperature = 99.3 18:00: experiencing arm soreness, muscle pain, headache; temperature = 99.2. Took 650mg acetaminophen. 19:00: experiencing arm soreness, muscle pain, headache; temperature = 100.8 20:00: experiencing arm soreness, muscle pain; temperature = 98.3 21:00: experiencing arm soreness, muscle pain; temperature = 100.6 21:30: experiencing arm soreness, muscle pain; temperature = 99.2 22:20: experiencing arm soreness, muscle pain; temperature = 100.1. Took 400mg Ibuprofen. 1/14: 07:00: woke up experiencing pain at the injection site, neck pain, headache. These events continued throughout the day. No temperature over 99.5. 18:30: Took 650mg acetaminophen for headache.

1618 vaccine given 1625 nausea onset followed by "feels like I'm on laughing gas", then started seeing sillhouettes but unable to see faces. b/p 118/82, hr-107, 0s sat 92% ra. 1636 starting to feel better b/p 118/82, hr-103, 02 sat 96% ra. 1646 all issues have resolved. Instructed to f/u with MD as needed. Discharged with grandpa to home.

Summary: Syncopal espisodes x 2 16 yo patient received his Covid-19 vaccine and as he was going to sit down in observation, he leaned on his mom and passed out. His mother gently lowered him to the ground (@ 1804). Patient's mother stated he just passed out and that this was his first injection ever in his life. Patient was immediately assessed by multiple nurses. Patient did not fall or hit his head or injure any part of his body. Patient took less than 60 seconds to respond to verbal commands and comprehend what had happened. Patient's legs were immediately raised and vital signs were obtained. He was diaphoretic and pale but both were dissapating. Patient denied difficulty breathing, pain, discomfort. Patient was moved to a reclined chair. Patient and family at side (mother and father) agreed to be monitored. At 1828, Patient complained of feeling "a star" on the left side of his chest. Patient was unable to describe this further. I asked if he was feeling anxious and he said yes. I instructed patient to take several deep breaths in through his nose and out through his mouth. After doing this 3 times, patient stated he did not feel anything funny in his chest anymore. At 1835, while still seated in a reclined chair, patient passed out again. He was pale and diaphoretic. A few team members saw him jerk/twitch and it was questionable if he was having a seizure. The jerking did not last but a few seconds. 911 was called @ 1826. Patient was transferred to a wheelchair and put in the ambulance @ 1841. Vitals were obtained throughout and charted. Pulse ox saturation levels were not below 96%. Immediately after the patient passed out the second time, his pulse was measured at 38 bpm and his lips displayed slight cyanosis. His pulse quickly rose to 52 bpm, within less than 10 seconds. One minute later his pulse was up to 68 bpm.

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Mild, Additional Details: Patient and his mother presented about 30 minutes after receiveing vaccine stating he passed out in the car for about 15 seconds and fell on his way back into the store. He lied down for a while and said he was fine. Mother said do not call an ambulance, she would take him to the emergency department.

Pt states he felt some numbness and a lump in his throat following the vaccination. He arrives to the observation area with his mom, patient did not attend school today because he was having a migraine. arrives 1400 to observation BP 128/69 HR 83 oxygen sat 97% room air 1405 pt feels that he can breathe easier 1415 he still feels like he has a small lump in his throat bp 126/62 hr 90 oxygen sat 97% room air 1420 patient stateshe feels like he is back to normal mom feels comfortable taking him home 1425 patient left observation via wheelchair and his mom with symptoms relieved

Patient received 1st dose of vaccine. Minutes after, while in the observation area, pt appears to have had a vasovagal reaction with a brief loss of consciousness, pt fell to the floor, had very brief shaking activity followed by immediate arousal by patient as medical provider has seen in other vasovagal incidences. Pt was alert and oriented upon arousal and pale. EMS was called by a store patron. Upon EMS arrival, Patients blood sugar was taken and found to be 55, pt does not have a history of diabetes. Pt stated he had had a waffle that morning for breakfast and had not eaten since the morning (time of event is estimated around 11am). Vital signs within normal limits. Patient stated he felt like he was having an anxiety attack prior to event. Parents decided to take patient to the hospital for further testing. Mother stated patient was discharged from the hospital that day and tests were normal.

Patient was nervous upon receipt of vaccine. It was an unscheduled (expiring) dose. Per parent, he had fallen asleep outside vaccine room and they had to wake him up to get vaccine. I gave immunization and asked him to stay for 15 minutes afterwards. His Mom ran to consult window to notify staff patient was passing out. I was sanitizing vaccine room so I immediately ran to him and his Dad and I caught him as he was slumping over. He was shaking really hard, weak, and clammy. He was coherent b/c I asked him his name but did not have clear recollection of timing of vaccine. He was very pale in color. His Mom grabbed him a Gatorade and he seemed very thirsty as he was drinking. He mentioned he felt dizzy and that both arms were hurting and the arm I gave vaccine in felt like he had sweat dripping off it. (I felt his arm and it did not). I grabbed an instant cold pack and placed on his neck to help cool him off. His color returned over the 30 minutes. I asked parents if they wanted me to call ambulance but they wanted to wait and see how he responded. He looked at his iPhone data and his heart rate had spiked. Unclear if right before vaccine or right after but I believe he mentioned it went up to 120 when Mom said his normal resting heart rate was 60. He ate some gold fish and seemed to perk up and have a few funny conversations showing his personality. I explained to him very important to let parents know if he experienced any other side effects after leaving. He was able to stand up and walk out of RX with parents.

Woke in the night (@ 1:30 am) with stomach pain, dehydration and blurred vision. Vomited several times through the night. Also had severe diarrhea.

Nausea, dizziness, change level of consciousness, diaphoretic. Patient transferred to floor, feet elevated, patient alert and oriented x 4. No shortness of breath or throat swelling. Pulse lowered from 57 to high 40's briefly. Patient transferred to doctor's office. Vital signs stabilized and symptoms resolved. Patient was then discharged home with his mother.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Medium, Additional Details: Patient was felling hot and had anxiety before getting the shot. He said he had breakfast at 7am and recieved the shot around 11:30 am.

11:15 Patient fell out of chair and hit his head on the gym floor, he lost conscientiousness, after he work up, he stated " I have a headache." Blood pressure elevated, sweating, kicking, confused initially but quickly able provide his name, birthdate, and current location. B/P 147/85 HR: 100 Oxygen Sat: 100% 11:20 am B/P 153/78 HR: 99 Oxygen Sat: 99% 11:40 Patient states " I'm not feeling alright but I think I'm going", patient was talking on the phone to his dad, unable to complete his sentence and began to fall out of his chair, patient eye's began to twitch, legs kicking, but patient was able to state his name. Patient was sent to the Emergency Room via ambulance. Father of the child will meet them at the hospital for further evaluation.

Pt vaccinated, 5 minutes later pt was standing with his mom and brother at the register. At this time, the pt lost consciousness briefly and fell to the floor. Pt complained his nose hurt(probably from hitting it on something on the way down, lip slightly broken open and shaky). 911 was called, pt refused transport and said would drive themselves. Pt left on their own.

8:00pm 4/19: - Body Aches (back, neck) - Headache 10:00pm 4/19: - Body Aches - Headache - Chills - Unable to sleep due to pain 5:00am 4/20: - Body Aches - Headache - Fever (101.9 degrees F) - Able to sleep after taking acetaminophen Fever subsided after ~4 hours Body aches continued throughout day, all symptoms gone next day

headache; body aches; feeling bad; sick; he thought he was going to pass out at work; fever of 105.2F; This is a spontaneous report from a contactable consumer (mother). A 16-years-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number and expiry date: unknown), via an unspecified route of administration on 31Mar2021 12:00 (at 16-years-old) as single dose for COVID-19 immunization. The patient medical history was not reported. There were no concomitant medications. The caller is calling about her 16 year old son. She just left the doctor with her son who received his first Covid 19 vaccine. She would like to report an adverse event. Her son has had a fever of 105.2F (07Apr2021). The doctor just did blood tests, a rapid test for Covid that was negative, they tested him for strep throat that was negative and he doesn't have an ear infection. He's been running a fever over 105F for the past 2 days (07Apr2021). The caller wanted to rule out that nothing else is going on. They have called the Medical Director of (name) and he didn't know what was going on with her son. If this fever continues she'll be calling Pfizer back. She is waiting on the results of his blood tests like his mononucleosis test pending and other viral and bacterial tests (unknown result). Her son started feeling bad about 4-5 days (unspecified date) after he received the Covid 19 vaccine. The last 2 days he's had a very high fever. He has a headache and body aches (unspecified date). He had a Covid 19 test not long before he received the Covid 19 vaccine and it was negative. She thought her son might have the Covid 19 virus but he had the rapid Covid 19 rapid test (09Apr2021) and it was negative. The caller does not know what is going on with her son. She took her son to a clinic because he was sick and because his fevers are too high. She also called the state but they told her that fevers are normal with the Covid 19 vaccine but if it persists after today, 09Apr2021, she needs to seek medical attention. It was further reported that earlier in the week her son told her he thought he was going to pass out at work (unspecified date). He told her he thought he had a fever but she checked it with a forehead thermometer and it didn't show a fever. Then on Wednesday, 07Apr2021, her son woke up around 4:30AM and had a fever of 105.2F with an oral thermometer. He woke Thursday, 08Apr2021 and this morning, Friday 09Apr2021 with a fever. His mother can control the fever during the day with Ibuprofen but he's spiking these fevers in the middle of the night. She knows fevers spike at night but she can't come with any other reason why this is happening. The patient lab tests and procedures also included CBC: pending, mononucleosis: pending, and rapid strep test: Negative; all from 09Apr2021. The outcome of events fever of 105.2f, headache, and body aches was not recovered; while for other events was unknown. Information on the lot/batch number has been requested.

11:55am Pt. reported feeling like he was "fading out and dizziness," denies SOB, chest pain. Airway patent. Patient and patient's Mother declined emergency care. 12:00pm. 122/82 58 21; 12:05pm 120/86 67 21; 12:15pm 122/82 72 20; Disposition: 12:35pm. Pt. in no distress, declined offers for emergent treatment. Pt. left with Mother in no distress via personal vehicle.

About an hour later he was disoriented; headache; seizure; fever was over 103/temperature spiked so quickly; This is a spontaneous report from a contactable consumer. A 16-year-old male patient received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via an unspecified route of administration, administered in right arm on 16Apr2021 13:00 (Batch/Lot number was not reported) (at the age of 16-years-old) as a single dose for COVID-19 immunisation. Medical history included mental illness and autism from unspecified dates and unknown if ongoing. There were no concomitant medications. Patient previously took the first dose of BNT162B2, administered in right arm on Mar2021 (Lot number was unknown), at the age of 16 years old, for COVID-19 immunisation. There were no other vaccines in four weeks. Several hours after receiving the second dose of Pfizer Covid vaccine on 16Apr2021 20:00, the individual developed a headache and took ibuprofen (ADVIL) and water. About an hour later, he was disoriented and the parent (who was a nurse practitioner) asked him questions and he was having a hard time answering. Patient's fever was over 103 in the ambulance. He was tested for everything at the hospital and all was negative. It was determined to be an adverse reaction to the vaccine and what likely happened is his temperature spiked so quickly that he had a seizure. The events resulted in emergency room/department or urgent care. Treatment for other adverse events was unknown. There was no COVID prior vaccination and patient was not COVID tested post vaccination. The outcome of the events was recovering. Information about lot/batch has been requested.

Difficulty awakening; tingling to hands; difficulty standing up; difficulty with mobility; unable to answer questions; hyperglycemic; incoherent; vomiting; weakness; dizziness; increased white blood cells; increased lactate value; Concomitant medication included an unspecified vaccine given on 08Apr2021; Concomitant medication included an unspecified vaccine given on 08Apr2021; This is a spontaneous report from a contactable consumer (patient). A 16-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number and expiry date unknown), via an unspecified route of administration, on 08Apr2021 13:45, as single dose, for COVID-19 immunization, at a hospital. Medical history included asplenic, diabetes, Ehlers-Danlos syndrome (EDS), and autism. The patient did not have COVID-19 prior to vaccination. The patient previously took gabapentin and lactose and experienced allergies. Concomitant medications included an unspecified vaccine (reported as "other vaccine") given on 08Jan2021; and other unspecified medications. On 08Apr2021 at 22:00, the patient experienced difficulty awakening, tingling to hands, difficulty standing up, difficulty with mobility, unable to answer questions, hyperglycemic, incoherent, vomiting, weakness, dizziness, increased white blood cells, and increased lactate value. These events resulted to physician's office and emergency room visits; and hospitalization for one day (unspecified date). Treatment for the events included IV fluid and IV antibiotics. The patient had COVID nasal swab on 09Apr2021 and tested negative. The patient recovered from the events on an unspecified date. Information on batch/lot number was requested.

9:30am Client had anxiety attack. EMS onsite evaluate client: BP 78/34, P 45, O2 98%. 9:53am Client was transported to Hospital. BP 103/53, P 72 O2 100%.

Felt hot, really tired, and headache the morning after the vaccine. Symptoms began when he woke up- he woke up about 30 minutes earlier than normal saying he did not feel well. Stayed home from school to rest. Felt better a few hours later, but did take Tylenol to help (only needed one dose). He felt better by evening and eturned to school the next day.

5 Minutes post vaccination, pt experienced seizure like symptoms. Speech was slurred and patient went into a fetal position and was flailing his arms. He returned to the chair and we placed him on the floor while waiting for 911. The paramedics check him out and with advice from the mother he was not taken to the hospital. He was escorted to his parents car and driven home.

Approx 1.5 days after vaccine: Headache followed by pronounced brain fog, inability to focus, spaced out feeling. Empty head feeling. Lasted about 10 days before starting to improve. Resolved after 12/13 days.

Patient had no issues with 1st shot. After 5 minutes of injection pt fainted. He revived right away but pupils were dilated and he had trouble staying conscious. After a few more minutes pupils were normal but he was pale and sweaty. He drank some water and felt better. EMS were called and said he was ok. All happened within 30 minutes.

Too trashed to train for his sport/described as too weak to train; Swelling; Loss of taste and smell to some extent; Brain fog; Swollen glands; Loss of taste and smell to some extent; Leg pain; Joint pain; passed out/hit the floor, put a big bump on his head; passed out/hit the floor, put a big bump on his head; Redness; Chills; Fever; Too sick to get out of bed; Shortness of breath; Headache; Muscle pain; Tiredness/Fatigue; Pain in the arm; 2 inch diameter raised circle at injection site; could not barely remember his name; tried to study but just wasn't there, head on desk. Still has difficulty focusing; This is a spontaneous report from a contactable consumer (patient's father). A 16-year-old male patient received second dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, lot: ER2613 and expiry: Jul2021), via an unspecified route of administration in right arm on 31Mar2021 14:30 (at the age of 16-year-old) as single dose for covid-19 immunisation. Vaccination was taken because he was going back to school. The vaccine was not administered at a military facility. No additional vaccines administered on same date of BNT162B2 and no prior vaccinations (within 4 weeks). The patient received first dose of bnt162b2 (Lot: EN6199, Expiry: Jun2021) on 10Mar2021 at 13:30 in right arm (at the age of 16-years-old) as single dose for covid-19 immunisation and experienced loss of taste and smell and joint pain, all events started in Mar2021. Medical history included mild allergy to Birch pollen (which everybody has, but nothing else/patient tested for allergies, and had no significant allergies, they thought he might be because he spilled a sugared soda behind his bookcase in his room and there was mold growing so they thought he might be allergic to mold, so they tested for allergies and he has no allergy to mold) and ongoing vitamin supplementation. Family Medical History included Sarcoidosis with mother. Concomitant medications included vitamin d3 for vitamin supplementation from 2020 (about a year ago) and ongoing; ascorbic acid, rosa canina fruit (VITAMIN C) for vitamin supplementation from an unspecified date (several years ago) and ongoing and an unspecified ongoing multivitamin from an unspecified date (several years ago) at 1 taken daily for vitamin supplementation. On 31Mar2021, the patient experienced pain in the arm at 17:30, tiredness at 20:30, shortness of breath, headache at 22:30 and muscle pain at 22:30. On 01Apr2021, the patient experienced fever at 00:30, chills at 01:30, redness at 02:30, leg pain at 08:30, fatigue (ongoing) at 02:30, joint pain at 08:30, too sick to get out of bed and passed out and hit the floor, put a big bump on his head at 05:30 (about 15 hours after second dose, patient was at the kitchen table with his head between his knees trying to breathe, passed out, hit the floor and put a big bump on his head). On 02Apr2021, the patient experienced brain fog at 14:30, swelling at 14:30, swollen glands at 02:30, loss of taste and smell to some extent at 14:30 and too sick to get out of bed. On day 2 (02Apr2021) and was still about pushing 100 degrees Fahrenheit and on 21Apr2021 (after 21 days) sometimes over sometimes less. On the following Monday (05Apr2021), he struggled back to school after 5 days, but came home early. He has just been trashed, too trashed to train for his sport, further described as too weak to train, he hadn't trained for 3 weeks. He still has a fever. His local doctor did not have any suggestions other than he should take acetaminophen and ibuprofen alternately to get rid of the headache and fever. In 2021, the patient experienced 2-inch diameter raised circle at injection site and disappeared after 10 days and there was a time he could not barely remember his name, tried to study but just wasn't there, head on desk. Still has difficulty focusing and doing his calculus. It was reported that the time to recover from any exertion seems to be longer by a lot. On 01Apr2021, body temperature reached 103 degrees Fahrenheit. The patient tried to do a few things like a week ago just because he couldn't stand to be in the house anymore he took a bike out for about 15 minutes and was just trashed from that experience and took 3 days to recover. The events did not require emergency room visit nor physician's office neither hospitalized. The outcome was recovered from loss of consciousness, head injury on 01Apr2021; from illness on 02Apr2021; from headache on 04Apr2021; from chills on 06Apr2021; from pain in arm and fatigue on 07Apr2021; from erythema on 11Apr2021; from ageusia and anosmia on 14Apr2021; from lymphadenopathy on 16Apr2021; from arthralgia on 17Apr2021; from myalgia on 18Apr2021; from leg pain on 21Apr2021; from vaccination site swelling in 2021; then recovered with sequel from dyspnoea on 05Apr2021 and from swelling on 07Apr2021; then recovering from pyrexia, feeling abnormal; then not recovered from asthenia and unknown for the remaining events.

Pt reports feeling very hot and dizzy. Pt appears very anxious. BP 89/54, HR 73-- > 1min later BP 122/99 -- > BP 105/56, HR 81 prior to D/C. Pt given ice pack, observed x15min. Patient stable and released from vaccination site.

Patient is a 16-year-old male patient admitted with seizure like activity. One day prior to admission patient received his second COVID vaccine, Pfizer brand. On the day of admission Patient woke at 0200 with pain in the left side of the chest, mid-axillary per patient's description it was cramp-like pain and he was able to go back to sleep. At 0500 he got up to use the restroom and went into the kitchen. He told his mom he didn't feel well and fell forward making a gurgling sound, arms rigid, was unresponsive, and this lasted 1.5minutes according to mom. Mom called EMS and when he awoke he stated he was nauseous. After EMS arrived it was 2-3 minutes and he did not feel well again, he stood up and head fell back, eyes open, he was shaking, and making a gurgling noise again, this episode lasted 30 seconds. Upon awaking he was disorientated for a few minutes then back to baseline, he was nauseous again and very tired. He came to the ED where EKG (pending), CBC (normal), PT/PTT/INR (slight elevation), CMP (normal), TSH (normal), Ethanol (None), Troponin (normal), Head CT (normal), and chest xray (normal) were done. He received a NS bolus was given. He was admitted to the pediatric hospitalist for further evaluation and management. This is where he had a 24hour Video EEG with normal EEG he was discharged home.

Extreme fatigue/tiredness Fever Upset stomach Headache Couldn?t concentrate Weak Chills Was extremely tired with the first dose also, for three days

pt received the shot and immediately felt according to him, intense pain in arm and began to loose sight. Patient then seized and went limp. We put the patient flat on the ground to protect from a fall injury and his seizing stopped. His color was very ashy and he was not responding properly to questions we asked. In about 2 minutes, he became more coherent and began talking and responding to our questions. Paramedics were immediately called and they arrived 30 minutes later after 3 phone calls to follow up. Father was with patient.

Patient was given Pfizer Vaccine on 5/16/21 at 11:00-11:10am. I read through the patient medical history through the handheld and noticed there was "yes" on seizure history. I ask the mother what happened and she told me it was from the first incident with the Pfizer vaccine. At the time of the first incident the mother stated that patient fainted and convulsed upon regaining consciousness. Patient has had no history of seizures prior to then or had any big injuries that could trigger it. Patient's mother states physicians think it's triggered by anxiety and not a true seizure, so MRI or tests was not needed. Doctor recommended patient to come back if it happens again. With the information provided I used professional judgement and was on high alert with the patient. After administrating the vaccine to the patient, I monitored patient's vitals carefully. Patient was stable and I walked with him to his seat near the wall and left him with his family. About a few minutes later the mother told me to come to her aid. Patient had a 1 time continuous seizure for about 30 seconds-1minute. After regaining consciousness the patient said he did not remember getting the vaccine. Patient's mother was very concerned and under control and did not overreact to the situation. Also, I promptly relayed to (pharmacist) to call 911 and he called a member of management. While pharmacist was on the phone with 911 the patient regained consciousness. I monitored patient's vitals while I waited for a member of store management. Store management took a little bit longer to respond (5-10 minutes) but arrived to document the whole incident. About 30 minutes after the incident patient's vitals were stable and the ambulance was not needed and the family took him to the hospital to get monitored. Patient rode the electric wheelchair was escorted out by store management to the car.

faint, pale color, cold sweat, vomiting, nausea, tingling in fingers. EMS was called to the pharmacy lobby. After patient drank some water and juice, he felt better. EMS treated on the scene for suspected panic attack. (Patient saw blood running down arm post injection). Patient and parent left the pharmacy after about 45 minutes from time of injection feeling and looking much better.

While sitting in the observation area, patient was sitting in chair then fell forward and hit the right side of his head on the floor. Patient was turned onto his side. BP 100/58 P68 SpO2 99% on room air. Pt did not lose consciousness. Alert and oriented x3. Patient stated before he fell onto the ground, he felt "warm and zoned out." EMS activated. BP 130/90 P72 SpO2 99% room air. water given. Sister who is legal guardian stated to cancel EMS and she would take patient to the hospital. Left facility at 1:23pm. No s/sx of distress noted.

On 05.17.21 patient received his first dose of the Pfizer Covid-19 vaccine (lot # EW0182 exp. 08/2022). Client's mother signaled to EMT that they needed assistance. EMT and RN responded. Client was a 16-year-old male found sitting upright and leaning forward while alert and tracking. Client had a chief complaint of ringing ears and uneasiness. Client stated that he began to notice his ears ringing a few minutes after observation began. Client's mother was unable to console the client prompting her to calmly wave for assistance. This was the client's first dose of the Pfizer vaccine. He and his mother both deny any medical history, allergies, or regular medication use. Assessment revealed no hives, rashes, discoloration, swelling, shortness of breath or other signs of anaphylaxis. Client complained of unspecified uneasiness while leaning forward but exhibited no accessory muscle use. Client denied any pain throughout his body. Airway, breathing and circulation were intact. Client stated that he was "nervous" before receiving his vaccine today due to stories he had heard from his peers. Client then stated that he felt like he "couldn't move [his] hands" despite there being no obvious range of motion compromise. Vitals at 1332 were pulse 76, O2 100%, lung sounds clear bilaterally, alert and oriented to person, place, date and event, respirations 20. Client and mother both consented to an additional 30 minutes. Client was assisted from his observation chair to a bed by EMT and mother and stayed there for the remainder of his observation. After approximately five minutes of lying down, the client stated that he felt "much better." Remaining vitals: 1337 - 118/78, O2 99%, Resp. 16, HR 76, 1349 - 110/76, HR 72, O2 99%, Resp. 16. 1402 118/78, O2 100%, HR 72, Resp. 16. Client's mother was provided with all relevant vaccine information and instructed to seek medical attention if further concerns arise in the evening. Client denied EMS transport. Client completed his observation at 1402 and departed with his mother at 1402 in positive disposition with steady gait asking his mother if he could go out and "skate".

Post vaccination pt began s/s lightheaded ness, anxious and diaphoretic. RN and I transferred patient into cot, patient had syncopal episode of 2min, paramedics on site. Vital signs stable, patient states feeling, ? a lot better? after a few minutes. Patient and mother refuse going to the hospital. AMA was signed. Patient then transferred himself into wheelchair with minimal assistance. Patient waited in observation for 30min and left home with mom.

ANXIOUS, LIGHTHEADED, DIAPHORETIC WITH SYNCOPE S/P VACCINATION. PARAMEDICS CAME, VSS, SX RESOLVED, REFUSED TRANSPORT, AMA SIGNED.

PATIENT WAS EXTREMELY NERVOUS, STATED DOES NOT LIKE NEEDLES. WITHIN 2 MINUTES FELT CHEST TIGHTNESS, LIGHTHEADEDNESS, STARTED SHAKING AND EYES ROLLED UP BEFORE PASSING OUT. COME TO WITHIN A FEW SECONDS BUT WAS NOT COHERENT. COULDN'T ANSWER BASIC QUESTIONS AND LOOKED AS IF WAS GOINT TO PASS OUT AGAIN. COULD NOT STAND, TALK ETC. HE WAS LIKE THIS FOR 10 MINUTES OR SO. CALLED 911 THEY STATED TO LAY PATEINT CAREFULLY ON THE FLOOR TO RECOVER BLOOD FLOW UNTIL THEY COULD GET THERE. PATEINT STARTED COMING BACK AROUND WITHIN THE NEXT 5 MINUTES. MOTHER REFUSED LEAVING IN AMBULANCE BELIEVED SON WOULD BE FINE.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Medium, Systemic: Hypotension-Severe, Additional Details: Blood pressure dropped 94/33, heart rate 43. Epi-pen 0.3mg wagiven. (911 team) confirmed patient recovered, vital stable, Ok for parents take Pt to ER or home. Dr confirmed patient had vagal response on 7/12/2019 after vaccinated HPV.

Systemic: Allergic: Difficulty Breathing-Medium, Systemic: Confusion-Medium, Systemic: Hypotension-Severe, Additional Details: Blood pressure dropped 94/33, heart rate 43. Epi-pen 0.3mg wagiven. Personnel (911 team) confirmed patient recovered, vital stable, Ok for parents take patient to ER or home. Doctor confirmed patient had vagal response on 7/12/2019 after vaccinated HPV.

Patient received the Pfizer COVID vaccine at 1745. Patient states he didn't feel right but stood up to go to the observation area and lost consciousness causing him to fall backwards to the floor where he was witnessed hitting his head on the gym floor. Patient was unresponsive for approximately one minute and was then alert and oriented but c/o dizziness. VS at 1756 BP 137/63 HR 85 and O2 Sat 98%. Patient remained in the supine position for approximately 10 minutes and was then aided into a sitting position on the floor and then assisted into a chair. Patient was then observed for 30 minutes by staff where he continued to c/o lightheadedness and dizziness. VS at 1806 BP 115/68 HR 84 O2 Sat 97%. EMS was then called to assess patient for continued dizziness. VS by EMS sitting BP 122/77 and standing 117/70. Patient was offered to be taken by EMS for further assessment but patient and grandfather both declined further care at this time. Patient and grandfather were instructed to call 911 immediately for any change in mental status, nausea/vomiting, or any other reaction symptoms with verbalization of understanding and agreement. Patient was advised upon discharge to stay hydrated and rest for the remainder of the evening. Patient and grandfather were also encouraged to discuss reaction with patient's PCP prior to receiving second dose.

Previously healthy 16 year old male presenting to hospital as a transfer for chest pain and elevated Troponin levels concerning for myocarditis. Patient has otherwise been healthy. Two days ago he received his second dose of COVID vaccination. He initially felt fine, but later that day had some body aches. The next day he felt feverish off and on and had dull left upper sternal border chest pain intermittently. Today, he reports sharp 7/10 mid sternal chest pain, lightheadedness, sweating, chills, and intermittent non-productive cough. He presented to original hospital for evaluation. The patient admits to tactile warmth since Sunday with no documented temperatures. He recently received his second dose of Pfizer just before onset of these symptoms. He reports difficulty sleeping since Sunday, but no shortness of breath, rashes, syncope, nausea, or vomiting. He has not had any other recent illness, fevers, or known COVID-19 exposures. He denies any history of prior cardiac disease and there is no known family history of cardiac disease, arrhythmias, or sudden death in the child or adolescent period. He denies illicit or recreational drug use. In the ED, he was well appearing with pain now 1 out of 10. POC troponin was 16.8 ng/mL. He had labs pertinent for ESR 10, CRP 3.0, BNP 24. RP2 PCR was negative. UDS was negative except for opiates (s/p morphine). IV was placed and patient was started on IV fluids. EKG was obtained and showed questionable left atrial enlargement per ED read. Cardiology was consulted and performed Echocardiogram in the ED at bedside and was within normal limits. Cardiology resident team contacted for admission. Past Medical History: No major medical diagnoses Past Surgical History: Orchiopexy, T&A Family History: No cardiac family history Social History: Lives at home with mother. Has two healthy siblings not living at home Immunizations: Up to date Medications: None Allergies: NKDA Etiology of likely myocarditis remains unclear at this time. In his age group, this would most likely represent a viral myocarditis. He would likely benefit from cardiac MRI during this admission for further evaluation of myocarditis. His EKG findings with his age group are unlikely to be secondary to myocardial infarct. No arrhythmias or heart block noted on EKG at time of admission or telemetry in ED. There is no family history of autoimmune disease or cardiac disease to suggest an autoimmune component or genetic etiology.

Patient is a 16 y.o. previously healthy male transferred from different Hospital for chest pain and elevated troponin. He had received his 2nd dose Covid vaccine (Pfizer) on Saturday 5/22, then had a fever to 103 on Sunday and then 101 on Monday measured by laser thermometer to forehead, associated with chills. Mother gave him Advil for fever. States he was awakened from sleep on Tuesday 5/25 at ~4am by a sharp chest pain. He describes a non-radiating, aching pain with some sense of pressure in the LUSB that initially lasted 2 hours. Once he arrived to Hospital it went away completely, but then returned several times after lasting about 30-60min each. Denies pleuritic pain, positional pain, dyspnea, or exertional pain. Tried Ibuprofen which he feels helped, but then the pain returned 30min later. Also endorsed headache and fatigue. At Hospital he had elevated troponin concerning for mild myocarditis. EKG had diffuse ST elevation suggestive of possible pericarditis.

About 10 mins after shot, fainted with eyes rolling back in head, convulsions for a few seconds. Patient helped to lay on floor. Showed confusion for a few seconds and then came to. EMTs checked vitals and blood sugar levels and said things were normal. Visited urgent care facility a few hours later where physician said episode was likely vasovagal syncope.

Headache 36 hours Fever 36 hours Brain fog continuing Lethargy ongoing Ibuprofen was given for symptoms

16-year-old male with no significant past medical history, now presenting with chest pain. Patient had 2 episodes of left-sided mid-chest pain. The initial episode was at ~ 3 am on 5/18 when the pain woke him up from sleep, lasted for ~ 20 minutes and he was able to fall back to sleep, he did not mention it to his parents at that time. Then it recurred at 2.30 pm - pressure-like pain in the same area, which radiated to his left shoulder. There were no significant worsening or alleviating factors. No change in pain quality or intensity with position. No shortness of breath, near-syncope or syncope, no palpitations. Upon his second pain episode, he called his parents on video chat and they instructed him to take 81 mg of aspirin and the pain subsided after 30 minutes. His parents promptly took him to the urgent care where he was found to have ST elevation and elevated troponin. He was transferred to CICU for further management. Admitted for myopericarditis with ST elevation and elevated troponin. On motrin q8h ATC, 12 lead EKG and troponin levels q6h. Underwent cardiac MRI on 5/20 which confirmed the diagnosis.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Mild, Systemic: Seizure-Severe, Systemic: Shakiness-Severe, Systemic: Weakness-Severe, Additional Details: After confirming that the patient did not have allergies or any previous adverse reactions to any vaccines in general, immediately after the vaccine, the patient's eyes had rolled to the back of their head and he began to go limp. His body shook for a few seconds. He quickly regained consciousness but was very weak and confused. His sister stated that he has a fear of needles. He felt nauseous (did not vomit) and felt like his heart was racing but his pulse was normal.

It started around 10 PM, he stated with 102 degree fever, body aches, fatigue and he couldn't even get out of the bed. He was really weak and extremely tired. These symptoms last thur 06/04/2021 and his fever broke. I thought we was out of the woods. Saturday, Jun 05, 2021 he woke up with severe chest pains. He had an irregular heartbeat and rapid heart beat. He fever was back and it was 100.8. I called his PCP and he said to take him to the ER.

Patient is 16 yo male who came to the pharmacy with his mother and his sister. Per patient's mother, patient does not have any issue with vaccine before. Patient got Pfizer at 2:10 pm and at 2:24 pm, he told his mother he is not feeling good. At 2:29 pm, he started to turn pale and 5 minutes later, he vomited. 10 minutes later, he back to normal. Asked patient to stay for another 15 minutes before leaving the pharmacy. At 3pm , patient left and feeling okay.

2 MINUTES APPROXIMATELY AFTER RECEIVING DOSE SAID I DON'T FEEL RIGHT, THE INJECTION SITE DOESN'T FEEL RIGHT, I FEEL DIFFERENTLY, I FEEL LIKE I'M GOING TO PASS OUT" STATES HIS PUPILS DILATED, EYES ROLLED BACK, COLOR IN THE FACE CHANGED (PALOR) AND THEN HE FAINTED AND PRVENTED HIM FROM FALLING. HE DESCRIBES FEELING THAT THE VISION HAD CHANGED, LOOKED BLACK AND SPOTTY, AND THE HUMIDITY, THE GROUND LOOKED SPOTTY TO HIM. IN LESS THAN A MINUTE HE CAME TO CONSCIOUSNESS BEFORE WE COULD ADMINISTER AMMONIUM SALTS. PULSE RATE WAS STEADY AND POUNDING, FELT NORMAL. TOOK VITAL SIGNS, PULSE OX 98%, WITH PULSE OF 55 ON THAT DEVICE AND THEN WITH WRIST B/P READ B/P OF 174/75 AND HR UP TO 66BPM, PATIENT KEPT FOR ADDITIONAL 25 MINUTES FOR OBSERVATION AND DOING JUST FINE NOW.

1 week later c/o intermittent burning pain in chest when eating or taking a deep breath. Sometimes feels like heart is being squeezed. No fever, no chills. Does not feel like heart is beating funny. Has not stopped him from normal activities like working out or playing baseball.

16 year old male with no PMH who presented with chest pain. Initially on 6/10-6/11 had expected myalgias and headaches post vaccination similar to dose #1, but later 6/11 developed chest pain that made it impossible for him to sleep. It was waxing and waning but continued through 6/12 which after discussion with PMD ultimately led to referral into our facility for further evaluation. Received a dose of ibuprofen with marked symptomatic relief. No further medications given during his time, his chest pain had resolved after that ibuprofen dose and was at clinical baseline until discharge on 6/15. Prolonged hospital course was to arrange for cardiac MRI to be done for comparison. Otherwise had serial labs (documented below) which had trended in the right direction.

Patient was dizzy, woozy, pale, disoriented briefly . He sat on the floor for about 5 minutes, then we transferred to a chair. We gave him a cool cloth, crackers, juice and water. He waited in the pharmacy until we were sure he felt better and then left with his mother at 3:45 pm

The day following the second Pfizer shot the patient developed a fever to 101.5 that improved with Tylenol and did not recur. On that same day he felt tingling in the hands and feet and reported a floating sensation. This too resolved with resolution of fever. On the third day after the shot he developed chest pain, difficulty taking a deep breath. He woke up the following morning with nausea which resolved but the chest pain and a feeling that it was hard to take a deep breath worsened. The pain was significant enough that he went to the ER. In the ER, he was found to have an ECG consistent with acute pericarditis and his troponin was elevated (2.75, upper limits of normal 0.03). He was started on IV Toradol and admitted to the hospital. His troponin kept climbing so he was also given IVIG (80 gm). The following morning his Troponin started coming down and he no longer was reporting any symptoms.

16yo previously healthy male presenting with chest pain. He received second dose of Pfizer Covid vaccine on Wednesday at 3p. That evening, he developed fevers, chills and had trouble sleeping. On Thursday, he began feeling heart palpitations and again slept. Overnight, he developed midline chest pain, and decided to present to the emergency room. His EKG showed elevated ST segments. Labs were remarkable for elevated troponin, leukocytosis, and elevated CRP; echo showed normal function but subtle hypokinesis of the apex. He was given morphine, Tylenol, Ketorolac, 1L NS, and possibly aspirin before being transferred to the ED. In our ED, he had a reassuring exam, was no longer reporting chest pain. He had labs drawn which showed a white count to 15.3, normal H/H, Plt 152, ESR 12, CRP 10, and Trop T 1.14. Aside from the above symptoms, he has been in his usual well state without viral symptoms, nausea, vomiting, diarrhea, rash, joint pain, or other symptoms. He has no past medical or surgical history. Immunizations are up to date. His social history is benign. Patient was admitted to the cardiology floor for continued monitoring of his troponin levels and EKG. An echocardiogram was performed which showed mild LV systolic dysfunction. He was then treated with IVIG 2g/kg and started on methylprednisolone IV q12h. He remained asymptomatic with no chest pain throughout his admission. He was transitioned over to PO steroids on 6/13 which he tolerated well. On day of discharge, his troponin levels were trending down. Cardiac MRI showed an area of late gadolinium enhancement in the LV, with no abnormal function. By time of discharge, patient was well-appearing, vitals stable, demonstrating good PO intake including tolerance of PO steroid. Prescriptions sent to preferred pharmacy. Follow up with cardiology to be arranged. Discharge instructions and return precautions reviewed with patient and parent, who expressed good understanding and agreement with plan. Reasons for new, changed, and discontinued medications: - Prednisone - Famotidine Patient was admitted for management of myocarditis thought to be due to his SARS-CoV2 vaccination. He received IVIG and steroids. He had multiple EKGs, echocardiogram, and a cardiac MRI. He showed improvement during his hospitalization. He will be followed closely by Cardiology who will advise return to exercise and repeat imaging needs. **Please note that we do not have access to the vaccination records (lot, etc)**

The patient felt dizzy and had blurry vision about 5 minutes after the vaccine administration. I talked to the patient and mother who reported a history of anxiety that may be contributing. They asked if he could lay down in the vaccine room and upon entering he lost his balance and fell to his knees but did not get injured or lose consciousness. The patient said he was not hurt but I called 911. they arrived about 15 minutes later and evaluated the patient. The patient revealed he had ran 2 miles earlier that day and had nothing to eat or drink besides a Yoo-hoo all day. The EMTs said he was very dehydrated. The patient felt fine after another 10 minutes and the mother declined medical transport.

6/18 chills, headache, nausea 6/19 chills, fatigue, nausea, headache, brain fog 6/20 fatigue, brain fog 6/21 fatigue, brain fog

Following with reaction like seizure; And after that faint; chest , neck and head pain with burning sensation; chest , neck and head pain with burning sensation; chest , neck and head pain with burning sensation; After few minutes started to change the face skin color, cold skin and memory loss; After few minutes started to change the face skin color, cold skin and memory loss; After few minutes started to change the face skin color, cold skin and memory loss; This is a spontaneous report received from a contactable consumer (patient). A 16-year-old male consumer received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 19May2021 at 15:45 at single dose in left arm for COVID-19 immunisation at the age of 16-year-old. Lot number was Er8735. Medical history included Environmental allergies. Concomitant medications included calcium carbonate, colecalciferol (VITAMIN D 2000). On 19May2021 at 04:45, the patient experienced chest, neck and head pain with a burning sensation. Following with reaction like seizure. Then, patient started to change the face skin color, cold skin, and memory loss. And after that he faint. The patient was not treated for the events. The patient recovered from the events. Prior to vaccination, the patient was not diagnosed with COVID-19; since the vaccination, the patient has not been tested for COVID-19.

Patient described increased heart rate and eventually chest pain after 20 minutes of receiving vaccine. Ambulance was called to assist - relayed heart rate and blood pressure was normal and deemed it "situational anxiety". Mom decided to have patient transported to ER.

Next day on Saturday; developed fatigue & extreme tiredness. Slept most of the day. Did eat two meals with a slight headache. Sunday headaches worsened with ear aches, fatigue & slept all day. Gave Patient Tylenol, pushed fluids to tolerance & used cold compress towels on his head for his headaches. Monday symptoms persisted & taken to his primary MD & was given medication (Tylenol) & was instructed to administer Ibuprofen if symptoms of headache continue. Prior to MD visit he fainted & vomited attempting to use the toilet. Unable to tolerate any light from the house with sensitivity to his vision. Encouraged to hydrate with GatorAid & fluids with meals to tolerance. Was instructed to take patient to Emergency if symptoms persist till Tuesday to obtain IV hydration. Tuesday late afternoon 4:30 pm, took patient to Emergency & was assessed for blood work which was normal & given IV hydration while there. Wednesday- symptoms subsiding with no further headaches & is now able to walk by himself with improving strength. He ate 3 meals today & hydrating most of the day. Sitting up more & trying to improve his strength & endurance. Less sensitive to light.

Two days after second dose of Pfizer vaccine, started with pressure-like chest pain that woke him up from sleep. Made better when sat up worse when lying down. Some relief with motrin.

Chest pain and "vice like" pressure in the area of the heart, shortness of breath which lasted for three days. During the period of pain there was limited activity on the part of the individual. After three days the symptoms had subsided completely.

Patient received his 2nd dose on Thursday 7/1/2021. He had flu-like symptoms the next two days (fatigue, fever, headache, myalgias). On Sunday morning (7/4/21), the patient woke from sleep with sharp, stabbing left sided chest pain that did not relent. He was taken to the hospital where he was found to have sequential troponins of 6.6 and 8.12. He was started on fluids and underwent EKG and Echo which were unremarkable. He also had repeat labs. Serial troponins downtrended on 7/5/2021.

My son began experiencing chest discomfort a few hours after he had received his 2nd dose. The discomfort only increased with his anxiety and having difficulty breathing. He also experienced his heart racing. I took him to the facility the following afternoon - approximately 31 hours after the 2nd dose and the facility completed blood work, x-ray and EKG; I was to follow-up with a cardiologist and that was also completed with Dr. and another EKG was performed, followed by an ultrasound of his heart. I have not received the result of the ultrasound as it was just performed on 06/30/2021.

Patient received his 2nd dose of the Pfizer vaccine and fainted approximately minute after the dose was given. The patient's eyes rolled back as he fell to the floor where it appears that he had a mini seizure. We called for a code white and immediately began emergency procedures. I held the patient while he was sitting upright and kept speaking to him until he regain consciousness approximately 1 minute after he had syncope. The patient seemed very confused because he had asked the question "where am I," as he opened his eyes. He slowly became more alert as time passed by and was aware of his surroundings within the next 2 minutes. He then stated that he was hot and hungry and was given water (from me) and Gatorade from his mother at his request. It was not long after that that the patient fully recovered and was back to normal. I had them stay and observed him for at least 40 minutes just to make sure that he was ok. Statements were taken from a salaried member of management during this time. There was no medication needed and none given during this incident. Plans were made with patient's mother for a follow up and our contact information was given incase they needed to contact us for anything at all. I will reach out to them in the next 1-2 days to see how the patient is progressing.

I got the Flu A with throbbing head pain almost constantly in the right side of my head and neck. No stuffy nose or anything like that. Just general pain and feeling terrible. I was bed ridden from Friday 25th June to Wednesday 30th June. My fever was up to 102 and was generally high throughout that time as well. I took ibuprofen and ate healthily, when I could eat though I had no appetite. I went to the DR and got a flu test on the 29th or 30th of June.

Site: Pain at Injection Site-Mild, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Nausea-Medium, Systemic: Shakiness-Mild

Afyer 15 imuutes of administration patient refers nausea, dizziness and confusion After 45 minutes symptoms still present

Start Date/Time: [Pfizer] 02May2021 01:00 PM/ Start Date/Time: [Pfizer] 18Apr2021 01:45 PM; Fever; Vomiting; Mild confusion; Extreme exhaustion; Body aches; Second dose brought back all concussion symptoms; Migraine; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 16-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), via intramuscular, administered in right arm on 02May2021 13:00 (Age at Time of Vaccination: 16 years) (Batch/Lot number was not reported) as dose 2, single, the patient previously took first dose of bnt162b2 via intramuscular, administered in right arm on 11Apr2021 01:00 pm for covid-19 immunization. The patient medical history included attention deficit hyperactivity disorder (ADHD) and hypersensitivity. The patient concomitant medications included methylphenidate taken for attention deficit hyperactivity disorder, cetirizine hydrochloride (ZYRTEC) taken for hypersensitivity from Jan2021 and ongoing. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient did not test COVID-19 positive prior to vaccination. The patient had not been tested for COVID-19 since the vaccination. The patient received first dose on 18apr2021 and second dose on 02may2021 which led to (inappropriate schedule of product administration). The patient said Second dose brought back all concussion symptoms. Migraine, mild confusion, extreme exhaustion on 02May2021, 8:30 PM, vomiting at 9:30 PM. Body aches and fever on 03May2021, 8:00 PM and lasted for 7 days. The event migraine was reported as serious (disability). The patient received treatment for fever with Motrin. The outcome of the event inappropriate schedule of product administration was unknown and other events were resolved on an unspecified date on 2021. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Swelling in his tonsils; feels a little hot; last night he felt weird and then used the bathroom and felt better; sleeping now and that is a warning flag for him sleeping a lot/he came home tired and fell asleep; he came home tired and fell asleep.; numbness in his arm; This is a spontaneous report from a contactable consumer (nurse, a CNA). A 16-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; Lot number: EW0196), via an unspecified route of administration on Left Arm(shoulder) on 14Jun2021 16:00 (age at vaccination: 16 years) as DOSE 1, SINGLE for just to get it to make sure he is fully protected. Vaccination Facility Type was reported as Pharmacy/Drug Store. The patient medical history included he had SVT and artery flutter that was diagnosed late in his 14 turning to 15. States they are fully resolved. Relays that he had 3 heart surgeries, each one you have to wait 6 months to get done. States the 1st one they couldn't find anything, the 2nd one they cauterized nerve endings, and the 3rd one they found another heart condition and did the same thing, they cauterized the nerve endings inside his heart. Additional Vaccines Administered on Same Date of the Pfizer Suspect was reported as none. Prior Vaccinations (within 4 weeks)or any other vaccinations within four weeks prior to the first administration date of the suspect vaccine was reported as none. Adverse events following prior vaccinations was reported as none. The patient Concomitant medications included ibuprofen(IBUPROFEN ABECE)taken for numbness from Jun2021. On 01Jul2021, the patient experienced Swollen tonsils at his appointment about 1:30pm, feels a little hot, last night he felt weird and then used the bathroom and felt better. On an unspecified date in Jul2021, the patient experienced sleeping now and that is a warning flag for him sleeping a lot, told to hold off and wait on getting the 2nd dose, he wants to have him evaluated 1st to see if it is an infection or an allergic reaction and he came home tired and fell asleep. On 15Jun2021, the patient experienced numbness in his arm. The other symptoms (except swollen tonsils) started around 8 PM-9 PM after their walk 1Jul2021.It was reported that he had heart complications(heart issues) 2 years ago which are resolved now. He received the first dose of the Pfizer-BioNtech Covid-19 vaccine on 14Jun2021 and he's scheduled for his second dose on 05Jul2021. Yesterday he went to his orthodontist and was diagnosed with swelling in his tonsils (first she said one of them and his tongue, then she explained that the swelling was in his tonsils). She would like to know if there are reports of any swollen glands and if she should be concerned about it. The reporter(who is patient's mom) stated that she just talked to the patients pediatrician and was told to hold off and wait on getting the 2nd dose, he wants to have him evaluated 1st to see if it is an infection or an allergic reaction. She states the lymph nodes are tonsils and they need to make sure it is not an allergic reaction and also not his heart and was told if it gets worse to take him to the Emergency Room and it's kind of off, like she saw them and they are really huge and it's just weird. She states he weighs about 205-210 pounds and is maybe 5 foot 7 inches tall. He just saw the orthodontist and received a letter to see his doctor and something clicked in her head that they are glands and basically anything like that vaccine have that type of reaction and he feels a little hot that started 01Jul2021 and last night he felt weird and then used the bathroom and felt better. Caller relays that he is sleeping now and that is a warning flag for him sleeping a lot. States that started recently and she tried to take him for exercising yesterday on nature walk and he came home tired and fell asleep. States he stayed up 1-2 hours and fell asleep. Caller states another orthodontist and pediatrician never have said anything about his tonsils before. Caller states she has to watch him, he will say he doesn't feel anything but that was the heart condition and he would go into shock and fall on the floor and she has to monitor him and he didn't know he was having episodes and they would reset his heart with paddles. Caller states she will probably take him to the ER and have tests run. The Relevant Tests was reported as None. Therapeutic measures were taken as a result of Swelling in his tonsils, numbness in his arm. The outcome of the event numbness in his arm, feels a little hot in his arm was unknown. The event "last night he felt weird and then used the bathroom and felt better" was recovered on Jul2021, while other events was not recovered. Relevant Med History (heart surgeries) notes: each one you have to wait 6 months to get done.1st one they couldn't find anything, the 2nd one they cauterized nerve endings, and the 3rd one they found another heart condition

I had a 16 year old with his mother come in for a covid shot. Got all the info then headed over the shot room where he was waiting. Looked as nervous as any other kid. His mother was close by watching. I usually carry a conversation with the kids asking them questions as I get ready and give them the shot. I was successful in giving him a shot. Told them to wait 15 minutes before they leave. Got a knock on the door from the mother only to find the kid sprawled out on the floor which alarmed me. The mother said he was light headed. I talked to him he said he felt dizzy and his head was spinning. I asked if he needed some water which he said yes. I went back after fetching the water and suggested he stay there and that I would check on him in 5 minutes. Went back and he was sitting on the chair with his mother next to him. Mother said he has a phobia of needles. Mother was thankful I was checking up on him. He and his mother walked away 5 minutes later.

Pt c/o lightheadness and nausea. vs 98.4, BP 102/74, HR 82, Bld sugar 115 evaluated by Physician and Nurse Practitioner; sent to the Clinic for further evaluation; given fluids. Pt emphasized some change in mental status and sent to the Hospital for evaluation; evaluated treated with fluids and released back to the clinic. 7/15 vital signs stable, c/o slight pain at injection site; no other c/o any issues Later on 7/15 pt c/o sl chest pain and discomfort-examined. vital signs stables dx with controchondritis-treated. No further c/o any problems after COVID injection 7/8 left the clinic and reunified with family

After my son received his 2nd Dose of the Pfizer on the scheduled date at approx.10:45 am, we went home and were just relaxing and at approx 1:54 pm. My son in a panic yelled for me to come into the bathroom and he showed me his urine and it was bright red with clots (Gross Hematuria). I know the time because as soon as I saw it I took a picture (of which I still have on my phone). I proceeded to access how he was feeling and after he said he felt okay just scared-no pain or anything, I called his Pediatrician whose office instructed me to take him to the ER and that is what I did. He was not rough housing, there was no trauma and again no pain. This has never happened before.

Patient felt lightheaded and confused. He laid down and rested for about 5 minutes. The EMT took vitals and they improved with rest. The patient was transported by ambulance to Hospital for additional observation because they are a minor.

At approximately 7:30 AM the following day, the patient woke up with the left eye being swollen and puffy as well as tender and slightly painful. Felt weird to blink but only in left eye. Took Acetaminophen 500mg and swelling decreased significantly around 2 hours later from the time it was first noticed.

Extreme Irritability/Aggitation, increased impulsivity, Trouble controlling emotional outbursts, lump under armpit where vaccine was given for 3 days

Anaphylactic Reaction. Throat began closing up, difficulty breathing, dizzy, disoriented. Received several treatments of Epinephrine, Streroids, Benadryl, and Ativan. Put on Oxygen. He is now on Benadryl every 6 hours for the next 3 days and been told to carry around an Epi-pen in case he has more adverse reactions. Follow-up with his primary care is scheduled for tomorrow 3/19/21.

PT FELT FAINT AND SHAKY AND STATED THAT HIS VISION WAS VIBRATING. HAD THE PATIENT RECLINE AND ELEVATE HIS FEET APPLIED COLD PACKS TO THE BACK OF HIS NECK AND WRISTS HAD HIM SIP SOME WATER.

1st Dose: only mild pain and swelling at injection site for a few days. 2nd night had heat flash and chills temporarily with constant brain fog for a week coming and going. 2nd Dose: after 4 hours, extreme fatigue throughout body, brain fog, confusion, and lethargic. Extreme brain fog 11 hours after vaccination. The next day strong fever and stronger symptoms from the day before. The 3rd day felt back to normal. 4th day had a mild brain fog moment.

Dizziness, fell x 2 on knees. Patient was anxious, no breakfast. Given water, juice, graham crackers. Final BP 92/62.

At 9:15 am on 3/31/21, patient experienced a seizure characterized by unconsciousness and full-body rigidity. He had never previously experienced a seizure. The episode lasted for approximately 5-8 minutes; the patient gradually regained consciousness, but was confused and complained of a headache, eye pain, and nausea for some time afterward. He does not remember the event or what preceded it. He visited the ER that morning. He received an injection of lorazepam and ondansetron. He was held for observation for about 4 hours. He was prescribed a 3 day supply of lorazepam 0.5 mg (taken every 12 hours) upon discharge.

April 2- woke up with extreme fatigue, achy, headache, had trouble sleeping. In afternoon had 100 fever. April 3 - woke up with migraine type headache; fatigue; lack of energy; had trouble sleeping; had weird dreams. April 4 - work up with same headache; had trouble sleeping; had a neck ache and sore throat. Overnight, 230 am April 5, had severe stomach pain, breathlessness, pain in left elbow. Had headache after waking up, missed school, still feeling drained.

Approx 40 minutes after receiving 1st Pfizer dose, client c/o "pressure inside throat" and rated pain 5/10. V/S taken at 1:51pm BP 138/70, HR 66, RR 14. At 1:55pm, 50 g liquid benadryl was offered and accepted by client; taken PO. At 2:00pm, V/S taken BP 150/90, HR 66, RR 18 and pressure in throat rated 2/10. At 2:27pm, V/S taken HR 120/82, HR 60, RR 16, AOx3. Client denied any feeling of pressure in throat and left site unaccompanied, unassisted, and with a steady gait.

Within 1-2 minutes my son passed out and started violently shaking/convulsing. His chin was pinned to his chest, he struggled to breath and was making a sound as if he was loudly snoring but seemed to be struggling to breathe. I was unable to wake him. I'm not sure how long it lasted but maybe 2 minutes or so. He woke up and asked what was going on as we had all been standing over him trying to unsuccessfully wake him. He shared that he thought he'd been asleep and had been dreaming. He also shared that his throat hurt very much. He had the shakes for about 30 minutes after and was extremely exhausted. He slept for 14 hours as soon as we arrived home.

After leaving vaccination room with mother, heading towards the lobby for minimum of 15 minutes post-vaccination observation, patient collapsed/ fainted and fell to floor. Mother was able to catch and support patient's head as patient slowly fell to floor. After only seconds, patient alert again and speaking and answering questions correctly. Patient attempted and was able come to a complete unassisted standing position, but was immediately encouraged to stay lying down until EMT has arrived. EMT arrived, assessed patient vitals, and encouraged patient and mother to go with them to hospital if they were concerned, but mother declined and signed affidavit. Patient and mother left to go get late lunch, as it was revealed patient had not eaten breakfast or lunch yet and was nervous about getting the shot.

Shot given around 1125 am. Pt and pt's mother went to sit in front of pharmacy. At around 1135, pt fell out of chair, sounded/looked like he may have hit his head on blood pressure machine that he was sitting near. We thought he had fainted. Pt woke within 10 or so seconds after fall and was confused. Said his head didn't hurt. His skin did lose it's color and he was looking "white as a sheet". We had pt lie on floor and elevated his feet. After a few minutes he was feeling better and was able to sit in a chair. Pt and his mom left the pharmacy area about 15-20 minutes after pt fainted. Upon looking at video of the event, it appears that before the patient fell out of his chair that his right arm raises up and his elbow is bent in a very stiff way. A split second later his whole body appears to stiffen and bend to the left, then he falls out of the chair and is lying on the floor. When on the floor, his legs appear to be fairly stiff as well. This whole episode seems to last about 10 seconds or less. The video makes it look more like a seizure than a case of syncope.

On 4/9 had sore left arm and fatigue, side effects lasted throughout the day and resolved. 4/13 woke up with bad nausea and headache (6/10 pain) stayed in bed and did not go to school, woke up 11 am and headache/nausea started to resolve throughout the day.

Day 1-- shot, nosebleed 8 hours later Day 2-- feels gross, sore throat, 2 more nosebleeds, stays home from school, fatigue, chills around 7 pm, complains of nausea Day 3-- feels grosser, stays home from school again, another nosebleed, fever 99.2, fatigue, still sore throat, weak muscles, gets winded if he has to walk gave him advil, vitamins, lots of water, emergen-c, ice packs, hot water bottle, tylenol, room humidifier, tea w/ lemon & honey, cough syrup for throat, afrin to clear up nose when it was stuffed closed (after the nosebleeds, afrin did not cause them) Nothing has helped him, he felt worse with each passing day. Tomorrow is day 4.

Patient walked into the observation area around 5:16pm after his vaccination. He was with his stepfather. He was with normal mentation, walking on his own, and talking with his stepfather in the waiting room. Within 1-2 minutes in the waiting room, he leaned to the right in his chair, hit the glass (glass did not crack or shatter, no head injury), and was not responsive for about 5 seconds. His father called his name and grabbed his hand but no response. I rushed over and patient became responsive and endorses not remembering what happened. He does not remember the event. No body shaking, tongue biting, or incontinence. He was taken back to the vital room, and his first BP was 70/35, pulse in the 60s. He denied any symptoms, and physical exam including neurological exam were normal. He was speaking coherently and with good mentation. He was given a water to drink. Repeat blood pressure 5 minutes later improved to 96/59 with no medication. He was moved to a clinic room and was laid supine with his legs elevated. Orthostatic blood pressures were within normal limits (111/63 supine, 110/72 sitting, 109/69 standing). Patient was able to walk out on his own and was in normal mentation. No medications were given or interventions wee done.

Patient received vaccine and came and sat down next to his father in the waiting area. Approximately 5 minutes after sitting down he fainted and fell out of chair. His father guided his fall. It took 2-3 minutes for patient to gain conscientiousness. He was disoriented, pale, groggy. 911 was called and arrived approximately 20 minutes after event. After the paramedics examined patient, he regained his bearings and color. The family decided to go home at approximately 10am. I spoke with mother at 7pm tonight and patient has been fine all day.

Patient was seen in COVID vaccine clinic for first dose of Pfizer vaccine. Patient has a history of vasovagel episodes related to anxiety and past healthcare appointments. Per mother patient has "White Coat Syndrome", and has been 2 years since previous episode. Given history patient laid supine on examination table for vaccine. Immediately following vaccine patient complained of lightheadedness and lost consciousness for approx 30 seconds. Patient woke up to stimulation but continued to complain of "fuzziness". Initial vitals HR 45, BP 100/51, MAP 73, RR 14, and sats 99% with bounding pulses.

Patient became very nervous five minutes after having vaccination, fainted to the floor with body tremors, BP 81/38 P45, Resp. 18, EMT at side with nursing staff, was put on stretcher, and complained of dizziness, nausea and lightheadedness, Later BP 114/55, P67 Resp.17. Patient transferred to ER. Recovered, no medications administered.

Patient was in his usual state of health. On Wed, 4/7/21, at 10:20am, he received the first dose of Pfizer COVID-19 vaccine. No immediate vaccine reactions. He went home, complained of pain at the vaccination site and took a nap because he stayed up late the night before. On Thursday morning, he woke up with chills and feeling like having a fever. He took Tylenol and then took a nap. On Thursday night, he began to have chest pain but he did not tell his parents. On Friday, he continued to have chest pain so he told his parents about it. His father told him that if chest pain got worse, they would go to an ER. On that night (Friday) at 1am, he told his parents that he was not feeling well, his chest pain had gotten worse and he wanted to be taken to an ER. He also had abdominal pain, dizziness, disorientation, and he vomited. He was taken to ER where he was found to have elevated troponin of 10. The ER recommended transferring for further work up and the father drove him to the hospital. At the hospital, he was found to have elevated troponins and NT-proBNP concerning for myocarditis of unclear etiology. He was monitored on telemetry and had no concerning ectopy. He had an echo on admission that demonstrated no structural abnormalities, trivial mitral valve regurge, and normal biventricular systolic function. EKG was unremarkable. Troponins were trended q6h and decreased from 32 -- > 23 -- > 17. NT-pro-BNP decreased from 439 to 322 at discharge.

Systemic: Tingling (specify: facial area, extemities)-Mild, Additional Details: Mild tingling in the arms 15 minutes after vaccination along with feeling uneasy. Benadryl given, pt felt well enough to leave store. Followup phone call on 4/28/21, pt had recovered fully.

Hypersensitivity to sounds, movement. ?I feel really weird. Everything around me feels overwhelming. I hear a bird?s wings flapping the same as people talking next to me, and notice any movement around me ? Started about 4 hours post vaccination and lasted at least 6 hours. Headache later developed.

Two days after inoculation I developed a dry cough. Two days later the cough went away, at the end when it left (four days after my first shot of the Pfizer biotech vaccine) every time I sneeze there is either snot and blood or just blood. And it has not stopped two weeks later. And I wouldn't say I'm experiencing Brain fog however I do feel a bit slow in my mind not lethargic in my physical body.

Pt c/o car sickness PTA, per his report. Pt reports he only drank gatorade and had one slice of bread PTA. Reports dizziness, blurred vision, diaphoresis prior to arrival to med obs #1. Denies LOC. Provided juice and saltine crackers. Mother and brother brought to bedside. Pt improves improvement of symptoms after eating/drinking. No s/s of distress noted. VSS. VS are as follows: 1137: BP 87/55, recheck 109/89, HR 77, RR 17, O2 sat 97% on RA 1142: BP 115/77, HR 66, RR 16, O2 sat 98% on RA

increased seizure activity/mini seizures; increased seizure activity/mini seizures; confusion and memory issues; confusion and memory issues; fatigue/tired; This is a spontaneous report from a contactable consumer. A 17-years-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 MRNA VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 17Apr2021 09:00 (Lot Number: EW1064) as SINGLE DOSE (at age of 17 years old) for covid-19 immunisation. Medical history included epilepsy (interactable epilepsy) from an unknown date and unknown if ongoing. There were no concomitant medications. Historical vaccine information included BNT162B2 dose 1 on 25Mar2021 09:00, lot number as ER8733, in the left arm for COVID-19 immunisation(at age of 17 years old). On 17Apr2021, the patient experienced increased seizure activity, fatigue/tired, confusion and memory issues. After the 2nd shot, about 4-5 hours, he experienced increased seizure activity and it has progressed to today, today he is a little bit better but it has progressed to point he is having a lot of confusion and memory issues. He has several different types of seizures but he has what are called mini seizures, the blank stare, the confusion. Nothing has stopped completely, he isn't back to his baseline as far as his seizures. He always has seizures, daily so she is calling about the increased activity and when she says his baseline she means he has not returned back to his baseline activity, but he is doing better than yesterday. Saturday, Sunday, and Monday were horrible. Today he started to get back to his normal self. The events did not require a visit to the Emergency Room or Physician Office. Outcome of the increased seizure activity/mini seizures, confusion and memory issues were recovering. Outcome of fatigue/tired were not recovered.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Visual Changes/Disturbances-Medium

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hyperventilation-Mild.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadedness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Medium, Systemic: Visual Changes/Disturbances-Medium.

Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Nausea-Medium, Systemic: Seizure-Severe, Systemic: Vomiting-Medium, Additional Details: Patient began to seize/faint in chair within 5 minutes post-vaccination. Paramedics were called as I stabilized patient on floor. Consciousness regained within 60 seconds, patient confused/unaware of what had occured. Patient flush, lightheaded, vomiting. Paramedics arrived and confirmed patient was stable and safe to leave scene without further intervention.

8:30pm: pale, fever Overnight: chills, fever, difficulty sleeping 7:30am: headache, sore arm, stomach ache

Patient is having fever, chills, nausea, and feeling of coldness now 5 days after receiving the second dose of Pfizer vaccine. He has been unable to eat much food and unable to sleep much due to feeling cold and having a fever.

Patient describes his experience as a "loss of vision" shortly followed by "blanking out" and dropping his phone. Patients in the observation area noticed him fainting and called pharmacy staff over to the location. Patient experienced no issues breathing nor experienced any swelling. Patient describes quickly feeling better, though pulse showed 60 BPM once EMS arrived.

Fainting twice the next morning; Tachycardia (up to 145 bpm); somewhat disoriented for about 24 hours; Chills and fever starting that evening; Chills and fever starting that evening; Very lightheaded; This is a spontaneous report from a contactable consumer (patient). A 17-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection), dose 2 via an unspecified route of administration, administered in right arm on 22Apr2021 15:00 (Batch/Lot number was not reported) at the age of 17 years old, as single dose for COVID-19 immunisation. The patient's medical history was not reported. Concomitant medications included colecalciferol, fish oil (VITAMIN D WITH OMEGA 3); saccharomyces boulardii (FLORASTOR); and multivitamins; all taken for an unspecified indication, start and stop date were not reported. Historical vaccination included bnt162b2 on 01Apr2021 (product=COVID 19, brand=Pfizer, Lot number=ER8737, Administration time=03:00 PM, Vaccine location=Right arm, Dose number=1, age at vaccination=17 years) for COVID-19 immunization. On 22Apr2021 20:00, the patient experienced fainting twice the next morning, tachycardia (up to 145 bpm), somewhat disoriented for about 24 hours, chills and fever starting that evening, and very lightheaded. No treatment was given for the events. The patient was recovering from the events. The patient was not diagnosed with COVID prior to vaccination and has not been tested for COVID since the vaccination. Information on the lot/batch number has been requested.

Pt received vaccine to R arm and within 3mins collapsed and hit back of hit head. Pt had seizure like activity for 1-2mins. Afterwards, pt was weak and confused. Pt taken to ER where he was given IVF and medication for nausea. Pt had neg head CT and CXR. Pt was discharged about 4hours later.

Pt reported itching shortly after receiving the vaccine. Elevated anxiety noted. Pt's mother was present at the time. Advised pt to be observed for 30 min before receiving 20 ml liquid benadryl. MD on call Dr. contacted and notified of the situation. Pt stayed an additional 30 minutes until itching resolved. Pt was stable, A&O x4 , and was driven by mother to home.

On April 22, 2021, Pt had flu like symptoms. On April 23, 2021 I received a text at work that pt was having chest pains. I called his pediatrician. We were thinking pt was still having flu like symptoms. On Saturday, April 24, 2021, pt was still complaining about chest pains. He was tired and not acting normal. We took his blood pressure twice and his heart rate was 105 bpm.. Can not exactly remember blood pressure (seemed very off). Took pt to the hospital where they measured his heart rate at 107 bpm.

Patient was the 4th person to receive today?s vaccine of Pfizer. This was his second dose. He did fine the first dose. Patient sat down in the chair and rolled sleeve up. Chose L deltoid for injection site. He was talking with a friend and writer gave injection. Placed band aid. Patient was quiet and looked like he was going to get up but fell forward out of the chair. He hit his L forehead on side of wall. Writer caught patient and sat him up on the ground. Eye?s were dilated, he was diaphoretic, zoned out and not responding initially to voice, but eyes were open. Eventually got patient up to a wheelchair and taken to office area to lay down and monitor. Father was notified and sat with us after he arrived at the school. Patient drank 1 full 120cc orange juice and approximately 6oz of water. Throughout monitoring patient gradually felt better. Pupils corrected to normal, wasn?t diaphoretic anymore, and vitals improved. He stated this has happened before with lab draws and shots, but not this severe. Writer and colleagues informed him to notify people that are going to give him shots or lab draws about his history. Also informed him to notify his teachers if he feels anything out the ordinary for the rest of the day. Make sure he hydrates. Patient then sat up and walked in the room. He stated he felt fine like before getting the shot. Patient left stable and under his own power.

HI, couple days after my son (17 years old) got the 2nd shot he was heaving a pressure in his chest and left arm so we rushed him to the hospital. When we got to the hospital with his level of 26 (normal 1) and blood test show also lever inflammation they hospitalized him right away. He was there 3 days and just got released. now he need to be under care with medication and visit to a heart cardiology doctor every few days for tests. he cannot do any activity (per to the doctor including computer games that can raise his heart rate)

Pt was seen at ED on5/8 for L sided weakness in the setting of a headache. Pt?s mother reports that these symptoms began 2 days after receiving second dose of Pfizer COVID-19 vaccination in R deltoid. She says that on 5/6, pt complained of L arm weakness during cooking class at school, which was followed by a mild L sided headache later in the day. Symptoms resolved without intervention but recurred on 5/8 with associated L sided facial droop, slurred speech, L arm spasms, and L foot drag. Pt was seen at ED for this and had a HA (5/10 in severity) at that time -- workup was unremarkable with a normal head CT, laboratory workup, and resolution of symptoms. Pediatric Neurology evaluated the pt, deemed no further workup necessary, and advised outpatient follow up. Pt presented again to the ED on 5/10 with concern for full tonic/clonic seizure, witnessed by pt?s mother. Mother reports that she heard pt fall and went upstairs to find pt seizing on his bed -- says that pt had shaking of bilateral upper extremities (in flexed position close to chest) and symmetric lower extremity shaking; eyes were closed without clear focality or eye deviation. Also some drooling, though no incontinence or tongue biting. Episode lasted for approximately 2 minutes; pt was confused and did not recall what happened immediately afterwards but improved within the next 8 minutes. He was taken to the ED by EMS. By the time he arrived in the ED, he had left sided weakness again. He was given Keppra 1g, placed on EEG, and was admitted. EEG overnight was read "normal" and additional workup was unremarkable. Pt had MRI brain completed showing cortical abnormalities in the R parietal lobe, suspected to be related to recent seizure. MRA showed patent intracranial cerebral vasculature. MRV showed no evidence of dural venous sinus thrombosis. Weakness resolved by the morning and pt was back to baseline on morning of 5/11/21. However, around 9 AM, L sided weakness (face, arm>leg) with associated headache recurred. Mom says that this event was captured on EEG. He was then transferred to our facility. He was placed on pEEG and had repeat labs, imaging completed. Pt did have L sided facial droop, L arm weakness, and slurred speech on arrival, but this resolved within 24 hours. Pt had one additional episode of "wave" of L sided weakness including L sided facial droop and slurred speech at one other time during the hospitalization, but no additional seizure like activity. He was discharged on 5/14 with a normal neuro exam-- some labs (including labs of Rheum and Id workup were pending at time of discharge.) Primary and consulting teams elected to forgo steroids but reconsider should symptoms worsen or return. Pt was readmitted on 5/16-- had an episode of expressive aphasia + headache while at a social gathering; states that he became overwhelmed by the noise. No additional seizure like activity.

Pfizer-BioNTech COVID-19 Vaccine EUA ; On 5/11/21, Patient experienced tingling in left arm minutes after the vaccine was injected (4:07pm). Patient became nauseous. While in the vehicle to go home, patient's breathing quickened. After this, patient's vision became blurry and he was unable to see. Patient also experienced hearing loss with ringing in ears. The father of the patient pulled the car over in case medical attention was needed. Patient eventually passed out for about 30 seconds (about 4:22). Patient recovered, but complained about fogginess (thinking was unclear and unfocused). The next day, on 5/12/21, the patient experienced chills and nausea without a fever. Currently, the patient is doing fine with no further symptoms.

Patient was anxious about shot. After receiving vaccine approximately 15 minutes patient was walking and fainted. Called 911 and was evaluated by EMS. EMS state his blood sugar was low and was given a snack and stated blood pressure was coming down. EMS released patient to parent.

Fainted; Dizziness; Sweaty palms; Heart rate dropped; Weird burning sensation in the back of his neck with tension; Weird burning sensation in the back of his neck with tension; Disorientated; Lost his color; Weird sensation in throat; Headache; Had pressure in his ears; Gassy; This is a spontaneous report from a contactable consumer (mother of the patient). A 17-year-old male patient received the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: ER8731; Expiration date was not reported) on 15Apr2021 (15:00) as a single dose, with route of administration unspecified, for COVID-19 immunization at the clinic (not a military facility). The patient had no relevant medical history and concomitant medications. On 15Apr2021, after the first dose of vaccination, the patient had fainted; dizziness; sweaty palms; heart rate has dropped; had weird burning sensation at the back of the neck with tension; was disorientated; and had lost his color. In Apr2021, the patient had weird sensation in the throat; headache; had pressure in his ears; and was gassy. The outcome of the events was unknown for 'lost his color'; was not recovered for 'headache'; and was recovered on an unspecified date in 2021 for all the other events. Information on lot/batch number was available. Additional information has been requested.

Within a few minutes of receiving the vaccine, the patient turned pale and clammy. He became confused and lost consciousness for several seconds, his head fell back and he made gurgling noises. When he regained consciousness, he couldn't remember our conversation. He said he was hot and his head hurt for a few minutes, he remained pale and sweaty for several minutes. After 10-15 minutes he said he felt fine.

Syncope- pale, nauseous, initially disoriented when regained consciousness, sweating. Patient was taken to ED. Escorted out by EMS.

After vaccination, the patient fell onto his buttocks, then hit his head. He did have a small abrasion on the back of his head and small abrasion on his elbow. There was no LOC observed. The patient did seem slightly confused. He vomited once. Was alert and fully oriented.

Patient complained of tongue feeling numb intermittently . Given water to drink no difficulty with swallowing. B/P 122/74 Pulse 83 pox 98% benadryl 25mg po administered 1010. Patient stated not feeling numbness as frequently now. Patient does have anxiety attacks. Pulse and oxygenation remaining stable. Patient able to drink water without difficulty . States feels some numbness at right side of back of neck now only , tongue not swollen.1030 b/p 130/79 pulse 75 Pox 98% From EPIC: Presents to ED with concern for initial numbness at the corners of his mouth about 1 minute after receiving his second Covid vaccine around 10 AM, however symptoms have now resolved. Patient stated that he felt slightly anxious prior to receiving the second Covid vaccine, but not as anxious as he did after receiving the first vaccine. Patient stated he received the vaccine around 10 AM and within a minute started feeling numbness at the corners of his lips. Denies any tongue numbness or other facial numbness or paralysis. Denies any rash, chest pain, shortness of breath, feeling of throat closing, or difficulty breathing. Denies any swelling. Denies any fever, URI symptoms, abdominal pain, vomiting, or diarrhea. Denies any headache, dizziness, or lightheadedness. Denies any slurring of speech or facial drooping. Denies any weakness. Patient received 25 mg of Benadryl at around 10:15 AM and was monitored for total about 30 minutes. He stated that at about 1/2-hour mark, his symptoms then resolved. Patient denies any symptoms at this time and states he feels much better and back to his baseline. Mom stated that while he was being monitored for the half hour, they watched his vital signs which were unremarkable. Of note, mom states the patient has never been formally diagnosed with anxiety however due to he and his sister both having anxiety symptoms, they are going to follow-up with his PCP regarding this.

Patient received the Pfizer vaccine in the morning, then woke at about midnight. He went to get a drink of water, and was holding a glass of water in his hand. He started to feel as if the room was spinning, became very sweaty, had ringing in both ears, and lost consciousness, striking his head on the counter. The event was unwitnessed. He reports waking approximately 1 hour later with a bad headache. He had a headache and felt disoriented. He denies urinary/bowel incontinence or tongue biting. He was able to walk back to his room without difficulty, took ibuprofen, and went back to sleep. He woke the next morning with nausea and vomited, but this did not impact his headache. He has not had any notable neurologic symptoms since that time, but continues to have a minor headache. He has not had any further vomiting. Headache has not subsequently woken him from sleep and does not worsen with recumbent positioning. He denies visual changes, memory changes, difficulty swallowing, shortness of breath, ringing in his ears, or dizziness. He says his headache is located mostly around his forehead and at the top of his head that is now mild and feels like pressure ?like a tension type headache.? His mother is a nurse, and evaluated him the next day. The family did not feel that he needed to be seen in the emergency department, or prior to this visit. He has not had any previous episodes that were similar. Patient was evaluated in my clinic. Complete neurologic exam was within normal limits. He has been referred to neurology for further assessment.

Patient was seen on 5/19/21 complaining of numbness and tingling in both of his hands, face, and mouth, and stated that it started three days prior. He was not having any fevers and there was no known injuries. Dr. ordered a CBC w/ diff, CMP, ferritin, Hemoglobin A1C, iron and TIBC, and TSH, all of which came back normal. Patients' mom called hospital on 5/22/21 stating that he had an incident during a game on 5/21/21 where he became disoriented and felt like he became less alert. He went to the Emergency Department on 5/23/21 with numbness and tingling that was present for one week and a headache for one day. After evaluation it was decided that neurology would see him outpatient. Neurology saw him on 5/25/21 and he said he has had difficulty concentrating and maintaining attention. He has also had memory issues. They ordered an MRI and EEG which have not occurred yet.

Within about 5-6 hours of receiving the vaccine, the patient began to develop nausea, vomiting and diarrhea. He took OTC pepto bismol for relief of symptoms which lasted about 6-8 hours. The next day patient was weak and stayed home from work. Fully recovered by day 2.

Insomnia for about 36 hours; fever (101.5 @ highest); body aches; headache; This is a spontaneous report from a contactable consumer (patient). A 17-years-old male patient received second dose of bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 2 via an unspecified route of administration, administered in arm left on 19May2021 at 13:30 at the age of 17 years (Batch/Lot Number: EW0173) as 2nd dose, single dose for covid-19 immunisation. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications received by the patient within 2 weeks of vaccination. The patient did not diagnose with COVID-19, prior to vaccination. Medical history included allergies bee Stings. The patient's concomitant medications were not reported. The patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection), dose 1 via an unspecified route of administration, administered in right arm on 28Apr2021 at 12:30 PM at the age of 17 years (Batch/Lot Number: ER8736) for covid-19 immunisation. On 19May2021 at 11:00 PM, the patient experienced insomnia for about 36 hours, fever (101.5 at highest), body aches and headache. The patient has not been tested for COVID-19 since the vaccination. No treatment was given for the events. The outcome of the events was reported as recovered on an unspecified date.

He had normal - tired, kind of sicky feeling when he woke up on Thursday. At 07:00pm, he had pain behind his right knee. I told him to drink more water and I gave him some Tylenol. I told him to keep me posted as to how he felt. The next morning, he said he hadn't slept all night - he had a dull pain that didn't go away when he moved. It traveled up his upper leg and up to his right hip. Moving and stretching didn't make it go away. Constant dull pain. I took him to ER. It took 36 -48 hours before it faded. He didn't wake up with it on Saturday.

Reported by mother. When he got his vaccine, he went home and had no reaction. The next morning he had a fever of 103, and gave her Tylenol chewable. The following day he has no fever, in the early at 4:00 AM he woke up with pain on his chest. He said that he felt weird, tightness on his chest and he could not actually describe it, said it was in the middle of his chest. It was uncomfortable but uncomfortable and was worried. They observed him, the pain didn't go away, just on the chest. If he tried to sit up he felt better, but when he laid down the pain was always there. Around 3:00 PM she brought him to the ER and had tests run, and all tests were okay. His EKG showed ST-elevations and inflammation of the heart. He had an US of the heart and was discharged home this morning. He has to be seen by his PCP to be referred to a cardiologist. He was given some medications and is sleeping right now. He has an APT with his PCP on 6/9/21. He was sent home to take Ibuprofen.

On Monday, May 31, 2021 at 1:20am pt. woke up with intense chest pain and labored breathing. He was able to fall back to sleep and woke up two hours later (3am) with the pain escalating. He did fall back to sleep again and once again woke up at 9am only to learn the pain was even worse and was barely able to breathe. He called me, his mother, and I raced him home and straight to our local Emergency Room. The ER originally thought it was a collapsed lung. After the x-ray came back negative for a pneumothorax, they continued testing. The very last test they did showed extremely elevated Troponin numbers at 1.05 and C-reactive Protein (CRP) numbers at 5.42. We were transferred by EMS/ambulance to the hospital 40 minutes away and checked into the Pediatric Intensive Care Unit (PICU). Pt was admitted in the afternoon of May 31st and was released on June 3rd at 1:30pm. June 1st his Troponin was 0.26 and CRP was 6.10. June 2nd Troponin was .45 and CRP was 3.54. The day he was released from the PICU (June 3rd ), his Troponin was .45, and the CRP was down to 1.83. Pt received daily EKGs, 24-hour heart monitoring, constant blood pressure tests, as well as blood oxygen levels. Once released from the hospital, Pt will be on light duty for at least a week, if not more. First follow-up Cardiologist appointment was June 8th at 10:30am. Echocardiogram, EKG, and blood work was ?normal.? Pt was put on a 72 hour heart monitor on June 8th and will be removed June 11th. Will start weaning off Ibuprofen and acid reducer, Pantoprazole, the next three weeks. Will continue to take Colchicine for three months, as well as light movement and exercise, nothing strenuous (swimming, running, etc.). Follow-up with cardiologist in one month (beginning of July).

not able to function; sleeps all day; lost 14 pounds since the second dose of the vaccine/lost another 4 pounds over the weekend; chest hurt; Shortness of breath; fatigued and very weak; fatigued and very weak; Headache; cannot focus on school online; blood pressure goes up and down; heart rate goes up and down; Dizziness; muscle mass depleting; This is a spontaneous report from a contactable consumer (patient's parent). A 17-year-old male patient received BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine), dose 2 via an unspecified route of administration, administered in the right arm, at age 17 years, on 12Apr2021 (Batch/Lot Number: EW0158) as 2ND DOSE, SINGLE DOSE for COVID-19 immunisation. Medical history included pressure in his eye from an injury, asthma (diagnosed when the patient was about 2) and has family members with asthma and heart conditions. Patient is in perfect health, he works out 6 days a week, and does football conditioning 5 days a week. History of all previous immunization with the Pfizer vaccine considered as suspect (or patient age at first and subsequent immunizations if dates of birth or immunizations are not available) was none. Concomitant medication included timolol taken for pressure in his eye from an injury from an unspecified start date to 20May2021. Additional vaccines administered on same date of the Pfizer Suspect was none. The patient historically received first dose of BNT162B2 (Pfizer-BioNTech COVID-19 mRNA vaccine, Lot Number: EP7534) at the left arm at age 17 years on 22Mar2021 for COVID-19 immunization. The patient got his second dose of the vaccine on 12Apr2021 and shorty after on 19Apr2021, he became very fatigued, very weak, his chest hurt, and he had shortness of breath. On Apr2021, patient had dizziness. The patient used to have bulky arms and now you can see his muscle mass depleting in Apr2021. The patient cannot focus on school online because of the headaches from 19Apr2021. The patient's blood pressure goes up and down from 19Apr2021. For days from 19Apr2021, the patient's heart rate will be fine in the 60s and it goes up to 120 or 130 with chest pain, it fluctuates depending on the day. The patient visited the emergency room on 05May2021, but was not admitted and no one knows what was going on with the vaccine. It was also reported that the patient lost 14 pounds on 25Apr2021 since the second dose of the vaccine. They knew the patient has already lost 10 pounds and then yesterday, 25May2021, the patient weighed himself and noticed he has lost another 4 pounds over the weekend. Patient had bloodwork on 20May2021 and it was all negative. The primary care provider was concerned about the weight loss so she ran a bunch of blood work. The patient is negative for COVID test and chest x-ray on 21May2021 and he has had multiple tests done. The patient went to his primary care provider on 25May2021 (yesterday from the time off reporting) and the reporter mentioned that maybe can they look at this as being a side effect from the vaccine. The patient's doctor laughed and said nothing has been proven yet about this. The reporter felt that this is a reaction to the vaccine. At the time of reporting on 26May2021, the patient was not able to function and sleeps all day. The patient also underwent lab tests and procedures that includes being tested negative for mono twice now (on unspecified dates). Clarified that they have not filed a safety report with Pfizer on the patient's events. The outcome of the events 'dizziness', 'lost 14 pounds since the second dose of the vaccine/lost another 4 pounds over the weekend', 'muscle mass depleting', 'cannot focus on school online', 'not able to function' and 'sleeps all day' was unknown; while for the other events, it was not recovered.

He had the second shot, had very mild headache, and then woke up approx 48 hours after 2nd dose, complaining that his " chest hurt", I asked him to explain the " hurt", he said his chest felt tight, heavy pressure, like weight on his chest, uncomfortable. He said it went away after a few days... I didn't realize the inflammation of the heart was a side affect, until I recently heard that was coming up, so I put 2 and 2 together, and thought I had better report.

Patient is a 17 year old male presenting with post-vaccine myocarditis. He had his second dose of his Pfizer COVID vaccine 3 days ago (6/11/2021) and that evening felt some mild burning central chest pain. States that the pain has been intermittent since then, non-pleuritic, non-exertional, but last night he had a severe episode that woke him from sleep, so his mother called the pediatrician who recommended he come to the ED. ED Course: Vitals - T: 36.7 °C, P: 79, R: 20, BP: 119/73, O2 SAT: 98% RA EKG - NSR 74, no acute abnormalities CXR - no acute process Trop - 32 Echo - normal PICU Course Cards: Troponin downtrending from 32.7 => 25.3 => 22 => 23.1 at time of discharge. Has been without chest pain during admission. Cardiac MRI demonstrating "Subepicardial delayed gadolinium enhancement in the mid inferolateral wall consistent with suspected diagnosis of acute myocarditis. Normal biventricular size and function with no hypertrophy. Normal valve function and structure." He will follow up with cardiology on 7/12 with repeat troponin on 6/18. EKG and ECHO unremarkable. ID: CBC, CRP unremarkable. Enterovirus PCR and RPP Negative. COVID-19 PCR Negative. COVID-19 IgG negative. Afebrile though out admission.

My son got both his 2nd dose of the Pfizer COVID-19 shot as well as a booster for Tdap. (Unsure of which Tdap or lot#) at 11:30 pm 6/18/2021 he was fine. About 30 mins later he was hit hard with side effects. Said he was very shaky and felt hot and cold at the same time. He did not let me know about this until this morning around 7:50 am 06/19/2021 about how he was feeling and he was still feeling very bad, advised him to take tylenol and he took that and went back to sleep. Around 12:00 PM 06/19/2021 I was finally able to check his temperature and other vitals. His temperature was normal, but his heart rate was 138 bpm. I made him sit down and relax for a bit and heart rate leveled out to normal. He also reported he is afraid to eat that he feels nauseous. As of this afternoon 06/19/2021 he seems to be feeling better.

Patient given vaccine then mother was given her vaccine. After RN administered vaccine to mother, patient reported he "felt weird." Patient suddenly got very pale in his face, so RN able to get patient to lie down and elevate feet. As patient was getting into supine position on exam table, patient passed out and was unconscious for one minute. A second RN entered room at the time and obtained vitals. Patient had strong pulse and was breathing upon assessment. Pulse ox upper 90s the entire time. Initial HR 50s, BPs 80s/40s. Within 10 minutes, HRs 60-70s and BPs 100s/50s. Patient was able to sit up independently, answered questions appropriately. Patient able to eat crackers and drink Gatorade with no issues. Patient able to stand without assistance and then escorted to observation room to be observed for an additional 30 minutes. Patient left with family with no further complications.

17 y/o male presented to ED (6/21) after experiencing "chest pain" with exercise (playing basketball). This occurred 5 days after receiving his 3rd dose of his Pfizer vaccine (6/16). He received a 3rd dose at the recommendation of his PMD after being informed that his 2nd dose was expired at the time when he had received it on 6/7 Following this vaccination he "slept for 18-20 hours" and had subjective fevers which self-resolved after 24 hours. He developed dyspnea, acute onset of R-sided/mid chest pain and the sensation that his heart was racing. He presented to the ED and was admitted to the PICU for monitoring. Labs revealed elevated troponin (240 ng/L) which downtrended to 89 ng/L by 6/23. Concern for myocarditis vs pericarditis in setting of recent Pfizer COVID-19 vaccine; started on ibuprofen 400mg PO q6h.

With in 3 minutes of receiving vaccine patient got dizzy and was brought the EMT on site. He sat there for about an hour due to dizziness and high blood pressure before I drove him home. Then nex day while driving he got dizzy and high blood pressure. Numbers were ranging from 150-170 over 99-108. Due to this he has several panic attacks and on medication for high blood pressure. He will not drive, work, or go many places since this vaccine and the panic attacks.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: pt fainted after getting second pfizer shot. was placed in supine position/water given later. bp,pulse was normal. emt/911 called and was checked in detain in ambulance.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Mild, Additional Details: after getting second dose of vaccine pt felt dizzy, lightheaded and little faint. pt was place on floor in supine position result in improvement of symptoms. bp and pulse was normal. emt and 911 was called to be on safe side and pt ngot checked up in ambulance in case of additional issues.

Woke up with cold sweats on 6/22/2021. By late morning spiked a fever (100.4) and was very tired. Switched between cold chills and hot flashes. Sent home from work and slept for about 3 hours in mid afternoon. Once awake, felt much better. Symptoms gone by dinner time. Took Ibuprofin.

Patient presented with altered mental status, hemiplegia, headache and vomiting. Initially concerning for viral meningitis. Symptoms improved and then recurred 2 more times prompting further evaluation. Symptoms consistent with atypical hemiplegic migraine or atypical migraine. EEG with hemispheric slowing.

At 2:25pm patient c/o SOB, increasing heart rate, hard to breathe, numbness all over body, and high level anxiety. Nurse took his blood pressure and tried to help patient stabilize his breathing in brown bag. Requested EMS immediately and patient was transported to hospital. HR: 170 BP: 150/100 Resp: 26

A few hours after the vaccine he got chills and muscle aches. This continued into the next day and he got a bad headache and couldn't go to school. Went to school Wednesday and came home with a migraine. He had migraines, congestion and extreme fatigue for next ten days. He was diagnosed with a sinus infections but could not break migraines so ended up in the ER and had an adverse reaction to Compazene. His heart rate dropped to below 42 beats per minute and his blood pressure was all over the place. He was basically sick for 6 weeks after getting the vaccine.

On April 22nd he said it felt like a switch turned off in his head . His depression and anxiety got worse. He didn't eat for a week and was always nauseated. He is going through therapy. Has gone to the ER twice for trying to attempt suicide. Mother said he has not been the same since he got the shot.

Ongoing dizziness, fog brain, weakness, fatigue, poor appetite, loss 7 pounds, heartburn, increase of anxiety, no motivation to do the things he once enjoyed

Within minutes of shot, my son had a seizure. He complained of tingling in left arm, then he couldn?t hear anything and had blurred vision, and said he had an extreme headache. Within moments he began convulsions that became stronger and his whole body was shaking. This lasted for about 45 seconds. He stopped shaking and began to wake up. He was groggy and confused and said he didn?t remember anything, but the pain in his head subsided. 911 was called and they took him to the hospital to check his vitals. They could not be sure what brought on Seizure. Suggested Vagol Response. We went home. That evening he felt tingles and needles in body, we thought side affect of vaccine. Today, he was in extreme pain from pins and needles sensations throughout his body.

Trouble at work and thought he was high on drugs; Began acting strange/acting goofy; acting like he was drunk; Glazed over and falling asleep randomly/friday night falling asleep in the car; Lethargy; This is a spontaneous report from a contactable consumer (patient mother). A 17-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection), dose 2 intramuscular, administered in Arm Left on 14May2021 13:55 (Batch/Lot number was not reported) as DOSE 2, SINGLE for covid-19 immunisation. Medical history included attention deficit hyperactivity disorder from 2010 and ongoing Her son would have behavioral ticks associated with his ADHD. The patient's concomitant medications were not reported. Historical Vaccine includes BNT162B2 1st dose at right arm for COVID-19 immunisation. On 14May2021 the patient States her son received the second dose, and afterwards had lethargy as everyone else seemed to have after their second dose, on15May2021 but he began acting strange acting goofy, acting like drunk. States it took a while for her to put two and two together. He has ADHD and his demeanor for 24-36 hours was very goofy and he was acting like he was drunk. On 14may2021 States he was giggling a lot and glazed over and falling asleep randomly. On 16may2021 States he was then having trouble at work and they thought he may have been high on drugs and they ended up questioning him. States after it subsided after a couple days, they thought it had to do with his second dose. States with his ADHD he has less ability to control his emotion when he is in stressful situations or over tired. Added this was much more pronounced. Outcome of the events lethargy abnormal behaviour was recovering, somnolence, acting like drunk was recovered on 16May2021, loss of personal independence in daily activities was recovered on 17May2021. Information on lot/batch number has been requested.

09:05 moved from his seat to lay on the floor stating he felt lightheaded and some nausea. At 09:07AM vitals were BP 118/62, SO2 98%, HR 53. He states he did not eat breakfast and he was very nervous to get the vaccine. At 09:08 water given and states he is starting to feel better. 09:11AM requested to sit up and states he is 100% better denying any symptoms. Nurse continued to monitor and discharged at 9:31AM. Nurse advised him to contact his PCP to inform them of today's event. Was present and they both verbalized understanding.

This is a 18 y.o. male who is generally healthy. He received a second dose of the SARS2-COV vaccine on 3/4. The following morning he felt feverish and achy with malaise. He stayed home, drank fluids and rested and felt well enough to come up to ski this weekend. During skiing he had some anterior chest pain, it resolved and he went about his day. Tonight at 2245 the pain became sharp and awakened him from sleep. He felt nauseated and clammy as well. Father brought him to the ER for evaluation. His emergency department evaluation showed ST elevations most notably in the inferior and lateral leads as well as in the lateral precordium.

Left observation area post-vaccination and returned to the clinic area approx. 20 min after injection. Felt hot, had headache, and was shaky. VS WNL, administered IM Benadryl 25 mg and kept in observation for approx. 45 min.

Tightness in chest Feeling of knot/lump in chest and throat Fever 100.3 F Rapid Pulse 110 Low Blood Pressure 80/70

My son received his first vaccine dose in his left arm on Friday April 9 at 8:45 am. By Sunday when he woke up, he noticed a walnut sized lump on his left clavicle. It felt unusual and moved on the bone every time he turned his head or moved his arm. There was no redness or fever and it felt hard. It was still there on Monday morning (April 12) so we called his primary care doctor which is where he received the vaccine. The doctor felt it could be a cyst or swollen lymph node and is sending him to a general surgeon next week for further evaluation. The doctor was uncertain if the lump was directly related to the vaccination. Other than acne, patient has no other preexisting conditions. He did have COVID19 in November with only mild symptoms (positive test on 11-23-20; no fever or cough, just felt tired for a couple days).

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Seizure-Mild

5 minutes after getting the shot I fainted / had a seizure. I heard from people around me that my face had turned pale and that my hands were cramping up. I woke up not knowing what had happened, or where I was for a good 30 seconds. They had to call an ambulance and take me to the hospital to get checked on.

Rapid Heartbeat, panic, dizzy- taken by ambulance to the emergency room less than one hour after vaccine.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Additional Details: Pt mother stated pt was nauseous and then that he was passing out. RN ran over to check on pt as pt eye rolled back and pt limbs fell limp. Pt moved to the floor by RN, rolled to the side by RN. Pt regained consciousness almost immediately and was laid on his back with feet elevated. Pt stated he felt fine, did not recall exactly what happened. Pt helped up into chair, given water and crackers. Pt stated he felt fine, observed by medical personnel for 30 min and pt was able to ambulate off site.

Vision problem. My son has been a homeschooled student for many years, using computer for his schooling without any problems. He had a minor injury to one eye shortly before the vaccination (scratched with hand), but after the shot, he complained of vision problems in both eyes. Redness, dryness, pressure, uncomfortable. Unable to concentrate and stay reading for more than a few minutes at a time. His primary doctor is now treating with antibiotic drops, but will take him to the eye doctor if he does not get better by Thursday as he will be done with the eye drops. We have also added allergy medicine, which seems to help a little. He is due for his second shot on 4/29. I still need him to get the shot to be protected from Covid, so hopefully, he will be better.

Anxiety induced. vital signs obtained and monitored. Patient denies any chest pain, SOB, dizziness, nausea and vomiting. Skin color, temp., condition appeared normal. patient described his feelings as "wonky". Patients anxiety subsided after drinking water.

Pt was nervous before getting shot. After receiving shot he was in a monitor area. He raised hand and stated he felt weak. He was pale and diaphoretic. Helped him to ground and allowed to rest. Felt better. Pt evaluated by paramedics. VS @ 1107 HR 68, OxSat 99%, BP 96/47. @1115 Sit in chair. BP 104/56, HR 70, OxSat 100%. @ 11:45 Pt ambulated w/o difficulty. Taking bus home. Told to call nurse when he arrives home.

Overnight, my (almost 19) son did not wake me, but reported to me in the morning that he had headaches, chills, numbness, thirst, and hallucinations. He was aware that they were not real during and after he had them, but it was a nonetheless disturbing experience. He described to me having the need to hydrate all night and he drank a lot of water. This morning he was still having a headache and numbness as well as overall malaise, but has taken advil and eaten a light breakfast. He is dressed and up and around and seems to be improving. Should the symptoms return or worsen, we plan to take him for medical care.

Blurry to blackout vision, loss of orientation within 10 minutes of vaccination and lasting for 20 minutes.

He woke up the day after his vaccine with neurological symptoms such as severe depression and agitation. He then started to have a fever that went from 100 - 103 that lasted a few hours, averaging 101. He was unable to to eat, having some nausea. He also started to have severe bloating in his stomach which started 24 hours after the shot, and would burp incessantly for over 48 hours after the shot.

Within 5-10 minutes of vaccination, the patient became diaphoretic, nauseous, and had a syncopal episode that lasted approximately 5 seconds. EMS evaluated the patient on-site. The patient was hypotensive (64/43) with a FSBG of 108mg/dL. EtCO2 and EKG were normal. EMS administered 1L normal saline and transported the patient to Hospital Emergency Department. In the ED, the patient reported being "anxious for days" about getting the vaccine and remembers hyperventilating prior to syncopizing. Upon assessment, the patient was normotensive (126/79) following fluid therapy. The patient reported improvement in the ED. The physician discharged the patient with diagnose of vasovagal syncopal episode secondary to an anxiety inducing event.

unable to hear anything; Feeling funny; pale; diaphoretic; This is a spontaneous report from a contactable healthcare professional. An 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 intramuscular, administered in Arm Left on 15Apr2021 (Lot Number: EW0164) as single dose for covid-19 immunisation, administered at the hospital. The patient's medical history and concomitant medications were not reported. On 15Apr2021, the patient started "feeling funny", "was unable to hear anything", opened his eyes with a bunch of people standing in front of him; pale, diaphoretic, brought to the emergency department for evaluation. The patient did not receive treatment for the events. Outcome of the events was recovered in Apr2021.; Sender's Comments: Based on the limited information provided and plausible temporal association, the Company (Pfizer) cannot exclude that the suspect medication may have contributed to the reported serious event in this patient. Additional information regarding relevant medical history, underlying conditions and concomitant medications will aid in the comprehensive assessment of the case. The impact of this report on the benefit-risk profile of the Pfizer product and on the conduct of the study is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, ethics committees. and investigators, as appropriate.

I slept with Hugh fevers throughout the night. I woke up multiple times because my skin was just so hot it was uncomfortable to sleep. I also am experiencing pounding headaches ranging from a solid 3-5. My whole entire body feels sore, especially my left arm. I took a Tylenol this morning and am waiting to see if the symptoms go away.

Patient received 1st dose of COVID-19 vaccination and immediately after became pale with upward eye deviation and loss of consciousness for approximately 10 seconds. Patient aroused and was noted by nurse to be nauseous, confused, sweating, and shivering. Patient's vitals were obtained and patient was given Gatorade and a snack. Patient was monitored for an additional 30 minutes and repeat vitals obtained. Patient was discharged in stable condition to mother.

extreme hallucinations; not feeling well; chills; aches and pains; headaches; slight numbness in his extremities; difficulty walking; he did not get much sleep; fever; This is a spontaneous report from contactable consumer (parent). An 18-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE), dose 2 via an unspecified route of administration, administered in left arm on 23Apr2021 at 12:45 (Lot Number: Ew0153) at the age of 18 years, as a single dose for COVID-19 immunization. Medical history included autism spectrum disorder, ADHD (Attention deficit hyperactivity disorder) combined, learning disabilities. The patient had no known allergies. Prior to the vaccination, the patient was not diagnosed with COVID-19. Concomitant medication taken within two weeks of vaccination included alfetamine aspartate/alfetamine sulfate/dexamphetamine saccharate/dexamphetamine sulfate (ADDERALL) taken for an unspecified indication. Historical vaccine included BNT162B2, dose 1 in left arm, on 02Apr2021, lot # EK5730. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 23Apr2021 at 21:00 the patient experienced extreme hallucinations, not feeling well, chills, aches and pains, headaches, slight numbness in his extremities, difficulty walking, he did not get much sleep, fever. The clinical course of events was reported as follows: My son reported to me at bedtime last night, the night of his second Pfizer vaccine dose, that he was not feeling well. I told him to take some Advil and go to bed. He had a very bad night with chills and aches and pains but most distressing was his description of having had extreme hallucinations. He said that he was aware they were hallucinations and not real during and after the experience, but it was nonetheless concerning. It is also concerning that he didn't wake me for help. At any rate, he did not get much sleep and I have to assume his fever went pretty high before morning. He described to me the need to hydrate during the night. He also relayed to me this morning an experience of headaches and slight numbness in his extremities, difficulty walking, but he is now feeling much better. He is dressed, has eaten, and is playing games on the computer. I am keeping a close eye on him today and should we return to that level of concern, we will take him to urgent care. The clinical outcome of the events was recovering. It was also reported that since the vaccination, the patient had not been tested for COVID-19.

18M with no PMH s/p pfizer vaccination dose 2 on 5/4/21 who presented with chest pain. He initially had chest pain the day prior to admission with pain in his back and down his left arm. This improved with Tylenol and resolved prior to bed. On the morning of 5/6 the chest pain returned and was so severe it woke him from sleep. He was difficult for him to characterize, but he said it was all over his chest, sometimes sharp and pressure-like, most severe in mid substernal region and was so substantial that he had difficulty speaking properly. He feels that the pain is most severe when lying flat and is best managed when he is resting at a 45 degree angle. Patient was at ED he was found to have an initial ECG with ST depressions in aVR and elevations in II, aVF, and V2 through V6 raising suspicion for pericarditis/myocarditis. Initial troponin was elevated at 4.35 as well. Cardiology Dr. was contacted by ED physician, case discussed, and EKGs reviewed and felt this was more likely pericarditis, but not STEMI. Of note, he reports a family history significant for his mother having a?hole in her heart.?He was given Toradol with improvement in his pain and upon arrival to hospital his chest pain was markedly improved. He was noted to have troponins peaking at 39.415 that down trended and an elevated CRP of 4.8 on admission. D-dimer was 0.26. Covid PCR was negative. He was evaluated by cardiology again here who upon review of his ECG and cardiac enzymes as well as presentation was consistent with pericarditis. Echocardiogram showed normal LV systolic function with trace posterior pericardial effusion and telemetry was monitored without any arrhythmias. He was started on low-dose beta-blockers, aspirin 650 mg 3 times a day, and colchicine 0.6 mg every 12 hours for 2 doses followed by 0.6 mg daily. He is planned to continue this for approximately 3 months and will need to follow-up with cardiology in 1 to 2 weeks for repeat monitoring and management with plan to taper off aspirin once his CRP normalizes. Later that night, he even had a similar episode of sudden onset chest pain for which she received IV Toradol with minimal relief and oral Tylenol with relief of symptoms after that. No telemetry abnormalities were recorded at that time. ECG the following day showed improving ST changes and troponin of 26.328 with CRP 4.2. He had no further symptoms for over 24 hours and is responding well to treatment. He is advised to take Tylenol as needed in addition to the above-mentioned medicines should he have any recurrent chest pain.

pt experienced fuzzy feeling on their tongue, felt hyperaware of their surroundings, and very hungry at first. later pt reported amnesia from the time they purchased their lunch (about 5pm) until they were getting up off the floor (about 20 minutes later) after they laid themself gently on the floor at the recommendation of the RPh after reporting they were not feeling well after the vaccination.

5/7 PM: c/o sore throat 5/8: starting having tactile fever, chest pain, sweats, nausea 5/9: continued with above plus vomited once, dizzy, shaky, neck and back pain 5/10 and 5/11: same 5/12: fever to 103, went to the PMD and referred to the ER.

AFTER RECEIVING HIS 2ND DOSE HE FELD ANXIOUS. ON SITE EMS RESPONDED AND VITALS ARE BELOW AFTER THE INITIAL EVAUATION HE HE SAID HE FELT BETTER AND WAS RELEASED TO GO HOME

PT had vasovagal syncopal episode, couldn?t see, disoriented,. Checked out by ALS, administered fluids, hypertensive. Transported ALS to Hospital. Run # 58372

Fainted within 30 seconds/Passed out completely after shot; Passed out completely after shot; Some intermittent light headedness and dizziness; Some intermittent light headedness and dizziness; Irritating; scary/ fearful; scary/ fearful; This is a spontaneous report from a contactable consumer (patient's mother). An 18-year-old male patient received the first dose of BNT162B2 (Pfizer-Biontech Covid-19 Vaccine, Lot. EW0169) at single dose, on 22Apr2021 at 17:30, for COVID-19 immunization. The patient had not received any other vaccines within 4 weeks prior to the BNT162B2 vaccine. Relevant medical history and concomitant medications were unknown. Patient's mother reported that her son fainted within 30 seconds of receiving the Pfizer vaccine 1st dose and since then he had experienced some intermittent light headedness and dizziness. He passed out completely after shot. Adverse events were described as following: "patient is due to get his second dose of the shot later this evening but is having periods of lightheadedness and dizziness. Patient's mother states that her son also feels like he is going to pass out. She states that this started 30 seconds after the first shot. Her son only passed out once, completely right after the shot, it was a bad experience. She's glad he actually wants the other one today, but he is concerned because he is still lightheaded and dizzy after 3 weeks. Patient's mother states that he has been trying to function, work, and live his life but its irritating to him and scary. The doctor suggested that he should get his second dose but her son is a little fearful". Physician Office Visit required. The patient did not recover from intermittent light headedness and dizziness, while clinical outcome of the other events was unknown.; Sender's Comments: Based on known drug safety profile and strong temporal relationship there is reasonable possibility of causal association between the reported events and the suspect drug. The impact of this report on the benefit/risk profile of the Pfizer product is evaluated as part of Pfizer procedures for safety evaluation, including the review and analysis of aggregate data for adverse events. Any safety concern identified as part of this review, as well as any appropriate action in response, will be promptly notified to regulatory authorities, Ethics Committees, and Investigators, as appropriate.

GAVE AN 18 YEAR OLD MALE HIS 1ST PFIZER COVID-19 VACCINE AND HAD HIM SIT DOWN FOR 15 MINUTES. ALMOST 5 MINUTES AFTER THE VACCINATION, THE PATIENT WAS SLOUCHED IN HIS CHAIR, SWEATING, LOOKING PALE, AND COMPLAINING THAT HIS BODY WAS HURTING ALL OVER. I RAN OVER TO THE PATIENT AND ASKED IF HE WAS HAVING TROUBLE BREATHING, TO WHICH HE DENIED. I BEGAN TO ASK HIM WHERE EXACTLY DOES IT HURT TO WHICH HE MENTIONED HIS LEGS AND BODY. SINCE HIS BREATHING WAS FINE, I SUSPECTED IT WAS JUST A PANIC ATTACK BUT NONETHELESS I PROVIDED HIM AN ICE PACK AND WATER. WE ALSO MOVED HIM TO A MORE PRIVATE AREA TO ELEVATE HIS LEGS. I OFFERED TO CALL 911, BUT HE DENIED. WE KEPT HIM FOR 30 MORE MINUTES WATCHING OVER HIM TO SEE HOW HE PROGRESSED. HE FELT MUCH BETTER TOWARDS THE END. THE PATIENT ADMITTED HE WAS HAVING A PANIC ATTACK. MY TECHNICIAN OFFERED TO CALL A FAMILY MEMBER TO COME GET HIM, BUT HE DENIED AND SAID HE WAS OKAY TO DRIVE HIMSELF HOME.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Hypotension-Mild, Additional Details: Patient went to observation area after receiving Pfizer Covid-19 Vaccine. Patient became lightheaded and faint and fell to floor. Patient was unconscious for aproximately 30 sec. After being repositioned, patient did regain consciousness; however was a little confused as to what had happened. Patient did injure his lip during fall. Vitals were all within normal limits with a slightly low blood pressure reading. 911 was called immediately. Stated had not eaten today/slept night before either.

Moments (~1 minute) after the vaccination, the patient described his ears as filling with fluid and he became very dizzy. He and his mother went to the restroom where she helped him to the floor so he did not fall. He reports not remembering walking to the bathroom, and was woozy when I (the pharmacist) arrived to the restroom. His breathing was elevated, and he was pale in color. No emergency medication was administered . Paramedics arrived to check him out, and he left the store under his own power. The vaccine-administering technician reported that he seemed very nervous to receive the vaccine today. When I was talking to him in the restroom he admitted that he has a history of anxiety/panic attacks when receiving vaccines in the past.

I'm really weak and grouchy; I'm really weak and grouchy; This is a spontaneous report from a contactable consumer (patient). An 18-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number and expiry date not reported), via an unspecified route of administration in left arm on 17May2021 at 14:00 (at the age of 18-years-old) as 1st dose, single for COVID-19 immunization. Medical history included shrimp allergy. Concomitant medication included Ibuprofen. The patient was vaccinated at Hospital. No other vaccine was given in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination has not been tested for COVID-19. The patient reported that he was really weak and grouchy on 17May2021 17:00. The events were reported as non-serious. The patient did not receive any treatment for the events. The outcome of the events was not recovered. Information on the lot/batch number has been requested.

Severe fatigue; Right hand started twitching uncontrollably; Had pain but it did not go across chest like after first dose vaccine; Had numbness down arms and legs; Had vertigo really bad; Was very hot, no fever, but radiating heat; Muscle pain; Mind numbing migraine pain in the caller's son's head; Body was hot allover, and his skin turned red; had periodic pins and needles with the numbness; Dizziness; Difficulty sleeping; Chest tightness periodically, but not consistently; Chest pain; Ear ringing; General malaise; Can't walk to the end of the block without coming back in pain; Found it hard to concentrate; Cloudy head; This is a spontaneous report from a contactable consumer (patient's mother). An 18-years-old male patient received of bnt162b2 (BNT162B2, Formulation: Solution for injection) via an unspecified route of administration in left arm on 07May2021 12:10 (Lot Number: EW0183; Expiration Date: 31Aug2021) as 2nd dose, single dose for COVID-19 immunisation. Medical history included lyme disease ongoing from 2013 and it was reported that her son had no tick bite & was diagnosed through a blood test. Her son had fatigue, migraines, lethargy & the doxycycline made him sick as a dog. A chiropractor had success using various tinctures & after 1 to 1-1/2 years, her son went into remission. Her son has a low degree of pain & soreness & has learned to deal with the pain. When his immune system is triggered, his Lyme disease comes back & he takes tinctures for a week or 2 & his symptoms goes away. No further details provided. The patient's concomitant medications were not reported. The patient previously received first dose of BNT162B2 (Lot number: EW0164 and Expiry date: 31Aug2021) administered in left arm for COVID-19 immunisation and experienced chest pain, headaches and light-headed. Patient also had his first HPV Vaccine, laid out flat for a week and had no problems with the meningitis. On 07May2021, after second dose of vaccine administration, the patient had pain but it did not go across chest like after first dose vaccine, numbness down arms and legs, really bad vertigo, was very hot, no fever, but radiating heat, muscle pain, dizziness, mind numbing migraine pain in head, body was hot allover, skin turned red and right hand started twitching uncontrollably. On an unspecified date in May2021, the patient had periodic pins and needles with the numbness, difficulty sleeping, chest tightness periodically, but not consistently, chest pain, severe fatigue, ear ringing, general malaise, can't walk to the end of the block without coming back in pain, found it hard to concentrate and cloudy head. It was reported that the caller's son had the pain but it did not go across his chest like after the first dose Pfizer Covid 19 vaccination. The caller's son had numbness down his arms and legs and her son's legs were real heavy. The caller's son had to help life his legs to get his legs to move. The caller's son had vertigo really bad. The vertigo was so bad the caller's son had to lay down on the stretcher as the vaccination site. Even sitting up, the caller's son's world was spinning. The caller's son had to lay down. It was very hot, no fever, but radiating heat: The caller's son was very hot, no fever, but radiating heat. Part of that was the vaccination centre was not air conditioned and the caller's son was already a little uncomfortably warm when he went in. Dry ice packs were placed on the caller's son's head, went through three dry ice packs melting on the caller's son. The dry ice packs were on the caller's son's forehead and back of his neck and the injection site. The caller was trying to give her son coolness the best she could. He stayed about 30 minutes at the vaccination site and nothing improved or got worse. He was still very heavily dizzy or whatever and got in the wheelchair and got home. The caller's son did nothing for the rest of the day or weekend. The caller's son was just in so much pain and so much dizziness, it was just too much to do anything. The caller's son's symptoms gradually improved but very minute. The amount of dizziness the caller's son had was a little less so he could sit up at the computer, but even that the caller's son had to take breaks and couldn't do it for more than 30 minutes before laying back down. Had pain but it did not go across chest like after first dose vaccine: The caller's son's pain was a little less intense. The caller's son's numbness by Monday, 10May2021, had subsided for the most part. The caller's son is still having numbness down his arm, the opposite arm the caller's son received the second dose Pfizer COVID-19 Vaccine. The caller's son is also having numbness in his thighs sometimes, but not constantly. Clarifies the thighs or upper legs. The caller took her son to a Chiropractor and the Chiropractor gave her son a couple supplements to detoxify. That seemed to actually make things worse. The caller also took her son to the doctor's office. The caller took her son to a Chiropractor and the Chiropractor gave her son a couple supplements to detoxify: The caller states these were Charcoal and Magnesium combination and Turmeric root extract. Reporter made her son hydrate and use the generic Acetaminophen 500mg Caplets, along with a pain tea. The pain tea was loose herbs of valerian root, peppermint, and skull cap and pain tea seemed to help her son more for his pain, and mask some of the general malaise, and allowed her son to study for his AP Calculus exam. Patient's pain went from an 11-12 and was now at a 6 or 7. patient had a high tolerance for pain, and could cope with the pain, but the pain made it difficult for him to concentrate. Patient's migraine pain was unbearable at times and made it difficult for him. The generic Acetaminophen 500mg caplet with the pain tea helped to manage so his migraine pain was not so extreme. Therapeutic measures included Liposomal Resveratrol 38mg Curcumin from turmeric root extract 100mg, dietary supplement (Lot: 00728B or 007288). She has reported that she had been giving her tylenol for muscular pain and migraine. Other treatment included: alternating between Advil (Liqui-Gels) and Tylenol (generic acetaminophen 500mg caplets), Advil Liqui-Gels 200mg Ibuprofen (UPC Number: 0573176914, Lot Number: R77157, Expiration Date: Mar2022), Generic Acetaminophen 500mg Caplets, NDC Number: 21130-111-90, Lot Number: 1AV1505 and Expiration Date: Nov2022). Reported in the evenings her son would take Advil PM (200mg Ibuprofen with Diphenhydramine Citrate 38mg), NDC/UPC Number: Unknown, Lot Number: EG1024 and Expiration Date: Jun2023. Reporter said that Advil didn't seem to work on her son's migraine headache like the Advil usually does. Outcome of the events pain but it did not go across chest like after first dose vaccine, numbness down arms and legs and vertigo really bad, muscle pain, mind numbing migraine pain in the caller's son's head, periodic pins and needles with the numbness, right hand started twitching uncontrollably, chest tightness periodically, but not consistently, chest pain and ear ringing as recovering, outcome of the event body was hot all over, and his skin turned red was recovered, outcome of the event difficulty sleeping as not recovered and outcome of the events dizziness, severe fatigue, general malaise, can't walk to the end of the block without coming back in pain, found it hard to concentrate and cloudy head as unknown. Information on Lot/Batch number was available. Additional information has been requested.

The morning after my shot maybe 12 hours later I woke up with a 104.5° fever and my right armpit was the size of a tennis ball and hurt a lot. I was extremely tired I could not go to work. I did not eat all day but I did take a lukewarm shower and some Tylenol.. About 5 PM my fever broke and it still took another 24 hours for me to feel myself again. It has been five weeks and I still have a golf ball sized lump in my right armpit even after massaging it and exercising and sweating every day.

Patient became dizzy and heart began racing a few minutes after immunization. Increased dizziness and then patient began having rigors that continued for 1 hour and 20 minutes post vaccination. He also experienced numbness in his body as well as warmth in his stomach and extremities. He was given Benadryl soon after vaccination. He was sent to the ER of to be monitored. Vitals and labs were deemed to be OK. Rigors ceased 20 minutes after arriving at the ER. He was monitored for a couple of hours and subsequently discharged. He has had severe fatigue. The day following immunization, he had another episode of rigors and numbness. Paramedics were called and evaluated patient at home. Patient then began having panic attacks and losing vision, brain fog, dizziness, and body numbness that have continued since that time. He has also had recurrent episodes of paranoia that started 3-4 days post vaccination and continue today. Patient has seen immunologist and is seeing psychologist weekly for counseling and EDMR. He has seen ophthalmologist as well as his primary care physician.

Patient woke up very early -- couldn't fall back asleep -- because of chest pain. He has never had this occur. I called our advice nurse, and she said we should call 911. EMS arrived a few minutes later, and took a LOT of tests -- blood oxygen, EKG, etc etc. And all of them looked fine. But he was clearly not himself. He described a great pressure on his chest, at a pain level of 7 (out of 10). They gave him some anti-inflammatory OTC and left. I stayed home with him that day. After about 5 hours he seemed to go back to normal and has been good since.

diagnosed me Pericarditis/ a fever around 38-39 C (101 F)/ a mild chest pain/with a strong chest pain that I couldn't sleep at night at all; I couldn't sleep at night at all; This is a spontaneous report received from a contactable consumer (patient) reported for himself. A 18-years-old male patient received bnt162b2 (BNT162B2), dose 2 via an unspecified route of administration, administered in Arm Right on 27May2021 13:15 (Batch/Lot Number: EW0167) as 2ND DOSE, SINGLE for covid-19 immunization, at the age at vaccination of 18 years old. Medical history reported as none. There were no concomitant medications. No known allergies. Historical vaccine included first dose of BNT162B2 (Product=COVID 19, lot number=EW0179; vaccine location=Right arm) on 06May2021 at 04:15 PM. The patient experienced diagnosed me pericarditis (medically significant) on 30May2021 with outcome of recovering, a fever around 38-39 c (101 f) on 28May2021 01:00 AM with outcome of recovering, a mild chest pain/with a strong chest pain that i couldn't sleep at night at all on 28May2021 01:00AM with outcome of recovering, i couldn't sleep at night at all on 29May2021 with outcome of recovering. The patient underwent lab tests which included body temperature: 101 fahrenheit (38-39 C) on 28May2021 and 29May2021, sars-cov-2 test: negative on 29May2021 (Nasal Swab). Additional information: "12 hours after 2nd shot I had a fever around 38-39 C (101 F) and a mild chest pain. 24 hours after that I still had the same fever, but with a strong chest pain that I couldn't sleep at night at all. Next day I went to the emergency room and they diagnosed me Pericarditis. I've never had any health problem before, especially heart problem." The events result in: Emergency room/department or urgent care. Treatment received for events included: Colchicine 0.6 mg. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine.Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. Information on Lot/Batch number was available. Additional information has been requested.

18yo M pt was nervous for vaccine, got vaccine, walked over to waiting area, sat for 5 minutes before passing out and falling out of chair onto floor, dad yelled for help by the time I got over there he was coming to, sat on the floor was slightly hyperventilating, gave him water, complained about not being able to feel his hands, was white as a ghost, paramedics were already at store for a separate incident, came over, took his vitals, offered him a ride to hospital but didnt think it was needed, pt left with his father

The day of the second shot (07JUN2021@11AM), my son complained his arm was sore and was not feeling the best but was eating, drinking, and seemed fine. The next day (08JUN2021 @10AM) my son came down from his room to eat breakfast and still was not feeling the best but seemed fine after eating. Around 12PM my son came down the stairs to get some water in the kitchen and then shortly thereafter after passed out, fell against the wall and slid down to the floor. I was in the location and found him unresponsive, very cold, and eyes looking straight ahead -not moving. My older son and I then carried him to the couch where I laid him down and elevated his feet. He started coming around approx. two minutes later and broke out in a sweat but also had chills. At that point, I did not call an ambulance and started to hydrate. After an hour or so, he started feeling better and then ate some food but was weak most of day and rested. The next day he seemed fine.

symptoms began as blurry vision, extreme light sensitivity (couldn't open eyes because of pain), and severe headache. He also had what looked like a red rash or blood bruise on both eyelids. The symptoms got increasingly worse and his vision became completely blurry and he was unable to focus his eyes and his photosensitivity so severe that he had to be in a dark room, even when his eyes were closed. His headache increased. We initially went to an urgent care clinic where they ran bloodwork, and then we were sent to an eye specialist for a thorough exam, which was excruciating for him to sit through on account of having to examine his eyes open and with light. After a few hours at the eye specialist we went home and he went to bed, unable to sleep because of his extreme headache. The symptoms lasted the following day, and the day after with loss of visual focus, extreme headache, and the rash on his eyelids appeared to had gotten a bit worse. I would say that Saturday evening his eyesight began getting gradually better (vaccine on Wednesday evening). His headache and aversion to sound continued. Over the next week his vision began gradually getting better, different eyes at different rates, as well as his headache. He still has the rash on his eyelids.

Chest tightness, shortness of breath, tight jaw, tingling left foot, racing heart rate/arrhythmia, irritability, inability to sleep more than 1 hour a night, excessive thirst? still waiting on treatment

Approximately 5 minutes after receiving vaccine, patient appeared to lose consciousness for less than 30 seconds. Upon regaining consciousness he appeared disoriented. Family reported last food/drink intake was 4AM this morning. Patient drank orange juice and appeared to become more alert. Patient denied any trouble breathing or swallowing. EMT were called and checked blood pressure and pulse. EMT asked if patient wanted to be brought to hospital and patient declined that request. Patient was able to leave on his own with family.

gave him the vaccine and spoke with the pharmacist told him he wasn't feeling good they told him to sit down and then he passed out for awhile, ER was called and took vitals and he started to respond and was taken to the hospital

Patient received the Pfizer vaccination in his left deltoid. After approximately five minutes, while sitting in our chair in the waiting area, patient complained of dizziness. He kept closing his eyes saying he was dizzy and vision was blurring. He slumped over and passed out for approximately 3-5 seconds. He came back to a little, was diaphoretic and breathing shallowly. Mom was worried and we called the paramedics. Mother said he hadn't been out of the house in about 3 years and had anxiety about the shot. Paramedics asked if he wanted to go to the hospital with them and he refused. Mother informed us he doesn't have a PCP.

Couldnt sleep; fluctuating body temperature.; This is a spontaneous report from a contactable consumer, the patient. A 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: ER8732) via an unspecified route of administration in the arm left on 31Mar2021 at 10:30 (at the age of 18-year-old) as a single dose for COVID-19 immunisation. The patient did not have any relevant medical history. The patient did not take any concomitant medication. The patient did not have allergies to medications, food, or other products. Prior to the vaccination, the patient was not diagnosed with COVID-19. Post vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 31Mar2021 at 12:00 the patient was not able to sleep and experienced fluctuating body temperature. The events did not result in doctor or other healthcare professional office/clinic visit, emergency room/department or urgent care. The patient did not receive any treatment for the reported adverse events. The clinical outcome of the event difficulty sleeping and fluctuating body temperature was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

18 year old male started experiencing lightheadedness, muscle stiffness, sweating profusely within 10 minutes of his first dose of Pfizer vaccine. Patient was made to lie down on the ground with ice applied to back of neck and forehead. His blood pressure reading was 77/64. Patient was coming in and out of consciousness for about 60 seconds then became alert and regained full consciousness. He also appeared to be experiencing an episode of muscle tightness (possibly a seizure) for a few seconds while he was unconscious. His mother who states that she is a nurse, was present with him as he experienced unconsciousness and prevented him from falling to the ground. She states he does not have a history of seizures or other conditions and has never had a reaction after an immunization. Paramedics arrived within 15 minutes, EKG and BP, blood glucose appeared normal. Patient was alert and able to stand unsupported prior to being taken to the hospital.

Throat was closing; Tongue swelled up; Heavy sweating; Fogging brain; Feeling of passing out; Lips swelled up; Weak; This is a spontaneous report from a contactable consumer, the patient. An 18-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: er8733) via an unspecified route of administration in the left arm on 01Apr2021 at 13:45 (at the age of 18-years-old), as a single dose for COVID-19 immunisation. Medical history was not reported. The patient had no allergies to medications, food, or other products. The patient did not receive any concomitant medication within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 01Apr2021 at 19:30, the patient felt that the throat was closing, lips and tongue swelled up, heavy sweating, fogging brain, feeling of passing out and weak. The events did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. Therapeutic measure taken as a result of the events experienced included benadryl (MANUFACTURER UNKNOWN). The clinical outcome of the events throat was closing, lips and tongue swelled up, heavy sweating, fogging brain, feeling of passing out and weak were resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

PATIENT CAME TO PHARMACY TO ASK ABOUT SIDE EFFECT OF THE PFIZER VACCINE. PATIENT STATED THAT HE EXPERIENCED WEIRD CHEST FEELING/PRESSURE, ALMOST LIKE POUNDING HEART. PATIENT CAN STILL FEEL THE HEART FEELING COUPLE WEEKS AFTER THE INJECTION OF HIS 1ST PFIZER DOSE. PATIENT WAS ADVISED TO SEE DOCTOR OR URGENT CARE TO GET THE HEAR CONDITION CHECKED ASAP.

Stuffy and Runny Nose; Stuffy and Runny Nose; Severe Tiredness; Sore Throat that comes and goes; mild head fogginess; This is a spontaneous report from a contactable Other HCP. A 19-year-old male patient received the first dose of BNT162B2 (lot number: EJ1686), via an unspecified route of administration on 10Jan2021 11:15 at single dose in the right arm for COVID-19 immunization. Medical history included hyperhidrosis and anxiety. Concomitant medication included clonidine, gabapentin, citalopram and lorazepam. The patient previously took sulfamethoxazole/trimethoprim (BACTRIM) and experienced allergies; and had influenza vaccine inact split 4v (AFLURIA QUAD) (Lot number: P100275860) on 24Dec2020 at single dose for immunization. On 11Jan2021 06:00, the patient experienced stuffy and runny nose, severe tiredness, sore throat that comes and goes and mild head fogginess. No treatment received for all the events. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has been tested for COVID-19. The patient underwent lab tests and procedures which included rRT-PCR Deep Nasal Swab - Both Nostrils: pending results on 09Jan2021 and pending results on 11Jan2021. The outcome of the events was not recovered.

A little before bed I was feeling cold (I think it was a little after 10pm). I took a warm shower thinking the house was just cold, but when I went to bed after I started shaking with chills. I didn?t sleep well that night and during the day Thursday (01/21) I felt feverish and a throbbing headache. I tried sleeping throughout the day, still having the chills come and go. I took ibuprofen before heading the bed the next night and slept great other than feeling a little hot and sweaty. I showered the next morning and felt 100% again.

Brain fog for the past 6 days: - unable to focus - unable to perform day to day cognitive tasks (e.g. read an article) Symptoms have no improved much.

Patient ambulated to general observation, sat in chair and suddenly fell straight back and slammed back of head on floor. Patient was unconscious, pale. Immediately turned onto left side. within a few seconds began having generalized rigid jerking for approx 5 sec, then patient came too, sat straight up, disoriented looking around. Able to recall name. states he was here for covid vaccine. Assisted to w/c by 2 EMT's and taken to private observation area. Patient c/o nausea and head pain. Color pale. Has an almond size swollen area at posterior base of head. Initial VS - BP 90/p; HR 53; O2 91% on room air. Responding to questions, but states he feels disoriented. Bilateral pupils 3cm with right reacting sluggish. Patient states he is a student. EMT attempted to contact patient's father and LVM. Patient's step mother returned called. Informed her that patient is being transported to Hospital downtown FW for further eval. She asked him what did she need to do. Nurse informed that his vehicle will be left at the vaccine location and he will need assistance pending hospital eval. Patient then called his boss to notify him that he will not be at work tonight. Patient states that he had a reaction to his first HPV - states he fainted, but completed the series without further problems. Repeat VS at 1550 BP 90/p; HR 67, O2 98%. Color remains very pale. EMS activated. patient states he needs to lie down. Assisted to stretcher per EMT, elevated legs, cushion under head with ice packs on back of head. 1602 EMS arrived, BP 121/75; HR 69 O2 100% on room air. Transferred to stretcher 1605 Patient transported to Hospital

On Thursday, March 18, 2021 client received his first dose of Pfizer COVID vaccine (LOT # ER2613, EXP 7/2021) at approximately 2:45pm by vaccinator. During assessment of screening questions, client stated he has a history of anxiety when getting vaccinations. After vaccine was administered, client stated he "felt anxious and dizzy." Vaccinator took his pulse at this time: 88bpm. Client was given water and sat at vaccination table for approximately 15 minutes. At 3:00pm, client walked with a steady gait to the Observation Area and EMT performed the following vitals assessment: At 3:05pm, vitals: BP: 130/p, HR: 60, RR: 13, Skin: dry, pink, warm. Vitals at 3:10pm: BP: 128/p, HR: 58, RR: 13, skin: dry, pink, warm. Vitals at 3:15pm: BP: 132/p, HR: 60, RR: 14, skin: dry, pink, warm. (p= over palpation-cuff too small for client). Client was observed watching videos on his phone and stated to EMT his anxiety had significantly lowered. No further interventions indicated. Client was educated by Lead RN & EMT on signs and symptoms of adverse reactions and when to go to the ED/call MD. Client left vaccination site with a steady gait and was driven home by his mother.

A few seconds after vaccine was administered the vaccinator turned around to notice patient was unconscious. Vaccinator describes 20-30 seconds of full body shaking. Patient then awoke and was Alert and oriented to people, place and time within 2 minutes. He was nauseas and anxious initially. Onsite EMS was alerted immediately and came to access the patient. 911 was also called quickly under the assumption it may have been a seizure. Patient denied any seizure history. Father arrived a few hours later to pick up patients vehicle and dog. Father informed me that patient was doing better at this point and was being prepared for departure.

At 2-8-21 at approximately 1:00pm I recieved my 2nd shot. At 5:00am on 2-9-21, I woke up experiencing an extreme headache, nausea, body aches, and severe chest pain. I checked my heartrate with a PulseOximeter and found it to be elevated at 105-115. I called out of work and rested in bed for the day. On 2-10-21 most of my symptoms had subsided however the chest pain persisted through 2-11-21. On 2-11-21 at 2:00pm, I visited the Urgent Care. While there, the provider ran an ECG, Chest X-Ray, and bloodwork. Test results showed Troponin levels in my blood had reached critical levels of 7.72ng/ml. I was immediately transported to the ER at the Hospital, where upon arrival they did an EKG and bloodwork. I was then admitted and seen by a cardiologist, who ordered an CT Angiogram, more bloodwork, and an Echocardiogram. After I was admitted, my mother contact the nurses station to check on me and asked what was wrong. She was then told the hospital was treating me for an NSTEMI and Myocarditis. This resulted in a 3 day hospital stay where the results of the tests showed there was nothing wrong with my heart other than the increased Troponin levels. It should be noted that I have had ZERO previous cardiac issues, or any other significant health issues. I was discharged from the hospital with lower but still elevated Troponin levels, and told to follow up with my primary care doctor. I had no health issues and felt fine until I had my second dose of the Covid-19 vaccine. I have copies of my hospital records detailing all of this.

pt received vaccine, walked to the waiting area, sat down, then fainted shortly thereafter. after talking with mom and son afterwards, they both get anxious and faint from any type of injection

Within 5 minutes of administration patient started to feel very light headed, then started to have sweats, said he started to fell odd all over, patient remained fully conscious, ems was called and patient left with them

Pfizer shot given. Patient felt ok immediately after shot, but approximately 5 minutes later told his mom he felt weird. He passed out and was helped to a sitting position. When I was called out to the lobby patient was still feeling a little lightheaded but he was conscious and breathing normally. He sustained a small cut on his hand which we cleaned up promptly. Patient told mom he felt like his vision was blurry. Mom wanted him checked out so I called emergency help.

Dizziness, nervous, hypotension, loss of vision/hearing, pale. BP 97/41, HR64, RR16. Symptoms improved, drank orange juice, BP improved. Patient generally historically hypotensive. Stable and released from vaccination site.

5 minutes after vaccine, experienced SOB, sweating, trouble seeing/hearing, and anxiety. Since he has other allergies and has had an anaphylactic reaction in the past, he asked for the epipen which was administered. EMTS were called and he was brought to hospital as a precaution.

Sympathomimetic Amines. Experiencing panic attack like symptoms. Started on Saturday at around 3:30 am and present at the time of writing this. Experiencing shortness of breath, trouble breathing, accelerated heart rate, numbness throughout body, shaking, and tight cheats and throat.

Pt received the vaccine and walked towards the observation area but felt nauseous, dizzy, lightheaded, states he was seeing spots. Went to the bathroom to sit down. Called his girlfriend who was in the waiting area to notify someone. Paramedic and nurses entered bathroom and found pt next to the toilet, alert, stating he was feeling dizzy and nauseous. Vitals at 1317 was BP 90/40, HR 52. Waited and rechecked vials at 1320 (BP 112/60, HR 66). Pt was able to get up and sit on a wheelchair and lay down on a cot. BP at 1326 was 110/60, HR 75. Gave him juice and time to rest. Pt reports improvement in symptoms. Pt able to walk to chair but reports some lightheadedness and feeling off. Pt sat in chair. Rechecked in 10 mins and reports he felt normal

Panic attack like episodes, sudden onset of shortness of breath, palpitation, dizziness, uneasiness. Lead to ED visit 2 times in last 4 days.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Mild, Systemic: Nausea-Mild, Systemic: Numbness (specify: facial area, extremities)-Severe, Systemic: Tingling (specify: facial area, extemities)-Severe, Systemic: Vomiting-Mild, Additional Details: numbess and tingling of the right arm

the day after getting the shot my son's being very aggressive, throwing things and mood was all over the place. Since getting the shot he has been upset and continuously wetting himself. I had to take him to a crisis center Sunday night because I was unable to calm him down. My son has never had this reaction before after getting shot.

Some chills, runny nose, sweating a lot during sleep, trouble sleeping. Started night of vaccine, hasn?t stopped 2 days later

Patient reports feeling light headed and diaphoretic. also reported muffled, heavy and blurry vision.. patient had seat laid flat. patient brought water and encouraged to stay hydrated .patient stated he has anxiety. Patient felt better after five minutes. Instructed to finish the rest of his 15 minutes and to let us know if symptoms return or become worse.

I got my shot at around 2:50PM on 04/29/2021. I started experiencing symptoms at around 12 hours (3am)after the shot. Basically chills, fever, headache, and just overall body cramps. Overall just felt super dizzy and could barely walk due to the dizziness and fatigue. About an hour later, I had trouble breathing and started hyperventilating. My body started cramping up all over to the point where I couldn?t move any part of my body and my entire body was tingly and it felt like I was having a heart attack but I believe it might have been a panic attack. I have not had many symptoms to vaccines in the past. Only meningitis B

Nausea, dizziness, light-headed, muscle ache, ear ache, stomach ache, exhaustion, fever, chills, sensitivity to light, headache, restlessness

The patient was crying at time of shot administration, came out to waiting area, after about 10-15 minutes, we were asked to come help by his mom. He had passed out, we checked his pulse it was present., patient was very tense with head laid back. after about 30 seconds patient woke up and was agitated and was jerking his arms about . mom tried to calm him down. He was very pale , was sweating, and said he felt he had to throw up. We called 911 and has management staff come to area. He stated his arm was numb that he received shot in and was very emotional. We moved him to a more private area and got him a cold cloth and waited for ambulance to arrive. He refused to go in ambulance and mom was gonna take him to er in her vehicle.

panic attack after receiving vaccine - diaphoresis, anxiety. He lied down, drank water and recovered in 30 minutes. He declined referral for medical/counseling services. Was given resources for counseling and will self-refer.

I first experienced a headache ~20 minutes after vaccination (11:15 AM). It faded, and I felt generally unwell and tired throughout the afternoon. Around 10:30 PM, I experienced serious chills and generally felt like I had a fever. These symptoms worsened into the night, as did the fever (measured at 102 degrees F, possibly higher at the peak). I also experienced a headache, mild nausea, joint (knee) pain, although some symptoms may have been due to dehydration. Despite being very tired, I was unable to really fall asleep. At around 6 AM the fever finally dropped substantially, and as of 8:30 AM is currently only 99.4 degrees. I am still experiencing a bit of a headache as well, but the other symptoms are gone.

Already reported in reference to patient was episodes of troubled breathing for 1st night and day after getting vaccinated. Pt called today to update that he had not been able to sleep at all up until last night on 5/9. He had been throwing up as well since 2 days after vaccination and 3-4 times daily.

Temporary loss of consciousness for a couple of seconds. Loss of vision, trouble breathing, perspiration, and confusion lasting ~15 minutes.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Systemic: Seizure-Severe, Additional Details: Difficulty seeing clearly. Difficulty hearing.

patient was very anxious before getting vaccine. after vaccine administration patient felt dizzy right away and could n t answer questions . patient was feeling very dizzy and was about to faint 911 called patient felt better after and was able to go home

Systemic: Dizziness/Lightheadedness-Mild, Systemic: Fainting/Unresponsive-Mild, Additional Details: Patient passed out briefly during the 15-minute waiting period, after receiving the Pfizer COVID vaccine. We put patient on the floor; elevated his knees and feet; and called EMS. EMS arrived in just a few minutes. They monitored his blood pressure. EMS determined he was dehydrated and suffered an anxiety attack. Patient's mom was present and stated patient has a history of fainting due to anxiety. Patient stated he was fine. He walked out of the pharmacy on his own smiling with thumbs-up.

Patient is a 19 y.o. male with a variety of minor past medical problems but without any significant PMH who presents with 24h of acute onset chest pains. He reports yesterday morning he was woken from sleep at 3-4 am with severe substernal chest pains that radiated to his arm and neck. This was worsened by laying flat and better if he waked around/pacing. He took ibuprofen and it got better so he went back to sleep. The pain returned about 6 hours later and was getting more severe so he went to see his doctor. There an EKG was abnormal so he was referred to the ED where a work up showed ST elevations c/w pericarditis and an elevated trop I of 24. The night prior, he reported a low grade temperature. He has not had any more fevers for the past 12-18 hours. He denies any other symptoms such as palpitations, shortness of breath, cough syncope. He denies sick contacts but did have a sore throat 4-5 days ago without any other associated symptoms. He has had recent negative COVID tests while at college. Of note he did receive the 2nd dose of Pfizer on 5/15 about 24-36 hours before onset of symptoms. Of note, he does boxing at school and has been participating in work outs until about a week ago. ED course: EKG w/ diffuse ST segment elevation in V3-V6, I, II, II, AVF. Troponin I 24. Creatnine 1.2 with baseline of 0.5 but BUN WNL (11). CBC WNL, CRP mildly elevated to 3.1, Transferred to another ED. Second ED Course: BP 120/64 | Pulse 83 | Temp 36.7 °C (98.1 °F) (Temporal) | Resp 18 | Wt 76.3 kg | SpO2 97% exam non-focal, COVID ab notable for +spike neg nuclear capsid consistent with vax but no infection, D-Dimer, procal, ESR, ferritin, Coags all WNL, Trop T elevated to 1.46,, ECG with consistent diffuse ST seg elevations, seen by ped cards who did echo in ED and notable for EF ~50%, admitted to PCICU for further management and treatment Admitted to the PCICU in stable condition. Placed on telemetry monitoring for the duration of the admission. Started on IV steroids and given IVIG on hospital day 1. Continued on toradol which was switched to motrin on hospital day 2. Cardiac MRI did not show signs of fibrosis. Troponin downtrended throughout his stay. At the time of DC echo showed normal function, ekg showed T wave inverions, and troponin was down trending to 0.57. Pt to be restricted from physical activity until cleared by cardiology. Infectious workup also sent, most of which was pending at time of discharge.

Patient DOB: 11/25/2001. Received his first dose Pfizer (LOT#: EW0185 EXP: 8/2021) at 0920on 5/18/21. Patient alerted EMT. Patient stated that he felt light headed and also felt anxious. Patient stated that he had not had not eaten in the morning. EMT took patients vital signs at 0928. BP: 138/82 pulse: 75, O2: 98%. Patient was given water, juice and food. Patient was placed in zero gravity chair. Patient was asked to stay an extra 30 minutes for further observation. EMT reassessed and re-took vital signs at 0945. BP: 132/74, pulse: 76, O2: 98%. Patient stated he was feeling better and only slightly felt the symptoms. Patient was educated on worsening signs and symptoms of vaccine and when to seek EMS or urgent care. Patient verbalized understanding of education. Patient left vaccination site at 0947 before the 30 minute observation was completed. PHN educated patient that he was leaving AMA. Patient insisted on leaving and was feeling better. Patient left vaccination site unassisted and with a steady gait.

Patient at 18:36 experienced a 1839 Syncopal episode 5-10 seconds, during 15min observation period. While seated patient eyes rolled back, and fell out of his chair onto his left side onto the floor, face down. Patient rolled over, semi-conscious, some- what confused at this time. PCP and RN coordinator assessed patient. Irregular Pulse 48 noted, B/P 130/80 SPO2 88-90%. Patient extremely pallor but responsive. Confusion cleared after 5 minutes. Followed up vitals: Pulse 60 noted, B/P 128/86. Patient was walked out to vehicle.

19 years old male, indicated no to all questions on vaccination, fainted after few minutes of getting the vaccine, was disoriented for a minute after falling down on his face, was sweating and looked pale , management called paramedics, was evaluated ok after checking all vitals

Fever, chills, body aches, fatigue. I felt like my mind was out of it like I was extremely tired. Took Tylenol and ibuprofen alternating throughout the day. Did not feel better until around 10pm the following day after vaccine.

Patient is a 19yo male who experienced a near syncopal episode immediately after receiving his first dose of Pfzier covid 19 vaccine. Patient c/o dizziness and tinnitus, patient then noted altered level of conciousness, w/o complete loss of consciousness. Upon assessment patient noted with significant diaphoresis, noted generalized clammy skin, no skin lesions, rash or hives noted. respiratory rate WNL, respirations even and unlabored. Within less that 60 seconds patient started to regain alertness and was able to respond and answer questions appropriately. Reported feeling some anxiety prior to getting vaccine but denied being diagnosed or treated with anxiety. reported prior episode with similar less severe symptoms associated with "shots" within >2 minutes patient was A&O x4, verbal and able to make needs known. Respiration remained even and unlabored. Skin pink warm and intact with significantly decreased clamminess and diaphoresis. No sx/sx of allergic reaction. Chest is non-tender, initially bradycardia @ 43 BPM, noted irregular heart rhythm, no murmur or extra sounds noted. Pt reports playing football with practicing at least 4 days weekly. Denies significant past medical HX. No HX of allergies. Patient was assisted to yoga mat on ground, in supine position with lower extremities elevated. Physical assessment completed then past medical HX obtained from PT. Initial VS 100/50. HR 43, o2 96% ECG obtained by EMTS WNL. Spontaneous resolution of symptoms after 1-2 minutes. Patient was assisted to sitting position, then standing w/o return of symptoms. VS @ 5 mins 114/63 HR 63 RR 18 o2 98%. Patient escorted to observation area and sitting in chair. Patient was observed for 30 mins in observation area. After 30 minutes no acute distresss noted, pt denied pain, dizziness, tinnitus or other symptoms. Advised patient to abstain from strenuous activity for the rest of the day and advised against football practice today and against being alone today. Advised patient to seek emergency treatment by calling 911 should symptoms return, experience SOB, or any sx/sx of an allergic reaction. Patient verbalized understanding before leaving vaccine site @ 1610

Pt has syncopal episode 14-15 minutes after vaccine. Pt sitting in chair during observation and suddenly passed out. Pt was able to come out of syncopal episode within a few seconds (10-15 s) after RN approached him. Pt states he felt dizzy for 30 seconds and passed out. Pt was dazed /confused and pale when awaken. Pt states he did not have breakfast this morning and last had a meal yesterday evening. Pt denies having syncopal episode in the past related to blood draw or vaccines. Vital signs taken initially (at 1041) after syncopal episode were as followed: BP 84/47, HR57, SpO2 97%, pt given granola bar, ice water, and ice pack applied in back of head. After patient was able to regain skin color back, drink full cup of ice water, and eat whole granola bar, vital signs were taken again as followed at 1052 105/50BP, HR71, spO2 97%. Pt placed in gurney to be taken to treatment room. RN gave report to treatment room RN. Pt AOx4 when, able to follow commands.

On 5/28 patient developed mid-sternal chest pain that woke him from sleep. Worse with position changes, some associated palpitations and shortness of breath. Came to ED, EKG consistent with acute pericarditis. No evidence of myocarditis on either labs (troponin 0.028) or echocardiogram (normal biventricular function). Discharged from ED with supportive care.

Massive chest pain, went to urgent care told it was anxiety sent home, went to ER later due to increased pain in lower chest where ribs meet stomach, ended up with elevated ECG, then proceeded to be give anti-anxiety and a Troponin level check. Troponin was over 5 ng/mL admitted to hospital after an Echo which resulted in an MRI the next day and concluded that it was likely Myocarditis.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Headache-Mild, Systemic: Nausea-Mild, Systemic: Shakiness-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: made grunting sounds before passing out

severe dehydration; severe dehydration; thirst; could not sleep at night/ lack of sleep/ sleep interrupted; she had never heard him so anxious or disturbed that he could not get relief; she had never heard him so anxious or disturbed that he could not get relief; This is a spontaneous report received from a contactable consumer (medical technologist). A 19-year-old male patient (reporter's grandson) received BNT61B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number not reported), on 04Mar2021 (at the age of 19-year-old) as 1st dose, single dose for COVID-19 immunisation. Vaccine was not administered at military facility. The patient's medical history included diabetic (since 1 years old, he was diagnosed 1 week after getting the measles/mumps/rubella (MMR) vaccine), dehydrated and rapid heartbeat (patient once before got dehydrated on the Hiking Trail with a rapid heartbeat). The patient's concomitant medications included insulin for diabetic. The patient previously received measles/mumps/rubella (MMR) vaccine. The reporter (caller) mentioned that his grandson got the 1st dose of the vaccine on 04Mar2021. Several hours later (04Mar2021), he experienced severe dehydration and thirst and could not sleep at night. He was very very uncomfortable and usually did not complain regarding experiences. He was young and going to college and he was living on his own. He was also diabetic. She was worried about his safety regarding his intake of the 2nd dose, so she was wondering if this had been reported and for any recommendations before and after getting the 2nd dose. They were consulting with his endocrinologist and the nurse at the endocrinologist's clinic said that they recommend young diabetic people to drink tons of water when getting the vaccine. Caller mentioned that she herself got the Pfizer vaccine and had no problem with it. Caller mentioned that his Grandson was diabetic since 1 years old. He was diagnosed 1 week after getting the MMR vaccine. She also mentioned that his grandson just recently got in college and he was in the younger side of the spectrum. Caller is asking if there is any data that would include her grandson's conditions in the clinical trials. Caller stated she was calling about the Pfizer COVID Vaccine and stated her grandson who was the patient was the one who received his first dose of the vaccine on 04Mar2021 and that day he received the vaccine he told her that starting in the evening that same day (04Mar2021) she had never heard him so anxious or disturbed that he could not get relief and the adverse reaction he had was severe dehydration and thirst and it was giving him a fit. Caller stated she thinks he was probably 5'10'' in height or so and thinks he weighed around and between 175-180 pounds when she last asked him. Caller stated she was not an HCP but was a medical technologist calling on behalf of the patient and because she was a medical technologist, she is medically trained. Caller stated she had not been able to get back in touch with the patient to get all the details for the report before she called around to get help but also stated the patient had his sleep interrupted after the vaccine was administered and he could not sleep but thinks this is all resolved and must have been resolved but she couldn't say for certain how long that he could not sleep or how long the severe dehydration or thirst lasted but she can find out. Caller stated the patient had not yet had the 2nd dose of the Pfizer COVID Vaccine and had his patient card and stated she did not have the lot, expiry date or NDC for the first dose. Caller stated for the indication for which the patient was administered the COVID vaccine, she thought because the patient was diabetic and the HCP was very anxious for him to have defense against COVID and against all various types of virus or the school may have required it but she was not sure; states it was for the patient's own safety that his endocrinologist wanted him to have the vaccine. Caller stated that the patient did not have treatment for the reported event and he did not say to her that he had any treatment; caller stated she doubted the infirmary at his school is even open at the University and she did not know whether the patient would go to the infirmary or not. Caller stated she was calling to find out of there have been any reports or feedback on this reaction that the patient had or the adverse situation the patient had several hours after receiving the Pfizer COVID Vaccine; states specifically for the severe dehydration and thirst the patient experienced after being administered the Pfizer COVID Vaccine. Caller stated the patient was due to get his 2nd dose of the Pfizer COVID vaccine three weeks from 04Mar2021 and she was most anxious to find out what recommendations were given or if Pfizer heard complaints about other adverse events like the ones she was reporting on the patient. Caller stated the patient once before got dehydrated on the Hiking Trail with a rapid heartbeat and he was with his father at that time; no further details provided by the caller. Caller stated the patient reported this to her in conversation a day or so after he had the Pfizer COVID Vaccine and she is medically trained and it has been a long time since she used that medical training but the patient is diabetic since the age of 1 and he had good care and has been under the care of the hospital endocrinologist and his HCP since he was found to have diabetes and he uses his insulin pump very well. Caller stated the patient was off to college where very few were attending college and the patient had a very undesirable evening after the vaccine of lack of sleep and he was so thirsty and could not get hydrated and she knows dehydration is bad for anybody even if they aren't diabetic or if they have a life threatening type of illness but the patient was at school and did not have a family member to help take care of him and he was due for his 2nd shot three weeks from 04Mar2021. Caller stated she was trying to find out the best route for him to go report this and she told him to report the reaction to the HCP and to call the HCP who prescribed the vaccine; stated the patient's endocrinologist was not able to get in touch with the patient and he was not answering the phone; stated the patient is at college and he was on online courses. Caller stated she was very anxious to find out enough information about this and it is a concern to his treating physician and she was asking about recommendations about the patient not having his 2nd dose of the Pfizer COVID Vaccine; stated she spoke with the nurse that works with the endocrinologist for all of these 18 years they have cared for the patient. Caller states the HCP's nurse stated she had found that patients that receive the vaccine and have diabetes and are treated at the hospital they recommend that those patients drink tons and tons of water before having the vaccine because some types of people with diabetes have extreme thirst. Caller stated she had no vaccine names, patient information or lot number or other information to provide on the patients that had the vaccine and have diabetes. Caller stated she spoke at the HCP office and stated there was no need for secrecy and HIPPA was not in Pfizer's domain; stated she cannot depend on the patient to look out for his own safety and she as a medical technologist used to give patients ordered glucose tolerance tests and she knew of the reactions that occurred with those patients and she did not want the patient to be stuck and wanted for him to do the smart thing of spending the night at home rather than drive back. Caller stated for those patients she administered glucose tests to she had no patient information or lot numbers or other information to provide and it was years ago before the Pfizer COVID vaccine came out. Caller stated she worked trying to get patient's diabetes under control at the University where she worked. Caller stated she already called and waited for organization but did not speak to anyone and left them a number to call her back a couple of days ago but she had not heard back; stated there were 18 people in the phone queue before her and she was hoping not to have to wait again. Caller stated her grandson probably does not had the time to wait on the phone being at college and he needed to do what he needed to do to be safe. Caller stated she had only spoken with the endocrinologist who treats the patient in his hometown and reported this information to the HCP's nurse and they are pretty good with follow up with patients. Caller stated she did not think the patient had other health issues and he actually had done extremely well on his insulin pump and had been on the insulin pump since about 3 years of age; stated she had no name of the insulin, had no lot numbers or further information. The events did not require emergency room or physician office visit. The outcome of the events was unknown. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

19 yo M with PMH of asthma and obesity who presents with one week of vision loss in left eye and new onset intermittent headache. Hre ported that he received his first dose of the Pfizer COVID vaccine on 5/3. Then he got the second dose on 5/13. On 5/14 he noticed headaches. On 5/16 he had vision loss in his right eye. This got worse so he came in on 5/19. He had an area of black vision in the upper quadrants of his visual fields and then blurriness in the rest of his vision in that eye. The other eye was unaffected. He had an exam by opthalmology which showed papilledema. He was seen by neurology and had an MRI of the Brain and orbits which showed L optic neuritis as well as a punctate area in the L frontal lobe of unclear significance. CSF with WBC count of 2, normal protein of 23. He had positive oligoclonal bands. Negaitve NMO and MOG. His vision started to improve with high dose steroids. he was discharged home.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Nausea-Medium, Systemic: Vomiting-Medium, Systemic: Weakness-Medium, Additional Details: 3 minutes after admin patient was weak, light headed and confused, then became unresponsive. called 911. he sat forward and began vomiting on the floor. then slowly became more coherent - he said he felt like his blood pressure was very low. EMTs came, checked him out, and he refused treatment. after about 30 minutes he walked out on his own.

Patient had a vaso-vagal response as described by the immunizing nurse. Symptoms included decreased BP, confusion, pale appearance

Patient is a 19 year old male admitted to emergency services 06/21/2021 for syncope 2 weeks ago and near syncope today. The patient's syncopal episode 2 weeks ago was after a physical fitness test and he stated that he felt everything going black and then fainted. The patient had also felt short of breath and had chest pain that day. Today the patient was participating in a run and had to keep falling out due to feeling like he was going to faint and had DOE/CP again. Upon having rest and coming to the ED the patient no longer had SOB or CP. However; he had positive Troponins. The patient denies any viral illness preceding his first event and denies tick, mosquito bites, new sexual partners or traveling anywhere. However; the patient did have his 2nd COVID-19 3 days prior to his first event. denies alcohol, tobacco or drug use

Pfizer-BioNTech COVID-19 Vaccine EUA Events: Severe chills, body aches, headache, tension headache, palpations, fever, lightheadedness.

Patient is a 19 y.o. male with PMH significant for anxiety and ADHD who presents with chest pain and palpitations. He was woken up this morning by chest pain described as sharp, midsternal, 7/10, radiating down right arm, with no exacerbating or alleviating factors. He also reports chest pressure. During episode of chest pain he felt his heart was beating fast. He felt nauseous and vomited once. He received his 2nd Pfizer COVID vaccine 4 days ago. He states that he felt fatigue and aching for a day following the vaccine.

9:45 AM client feels "throat closing, " shivering and cold. NP, safety, and EMT were called and arrived at scene. NP, assessed pt. no throat or tongue swelling present, client states he feels anxious, otherwise feeling "OK". 9:54 BP 134/77, HR 104, O2 92%, BS 142. client was laid on the floor with a sheet with his legs elevated, blanket was placed on his upper body. 10:00 NP, reassessed pt and stated he is not having a reaction to the vaccine. Client states "I feel better." 10:08 Patient is sitting in the chair BP 127/80, HR 94, O2 99% 10:10 NP assessed client and stated that he is well enough to go home. Advised client that if he has chest pain, or shortness of breath to report to the ER or call 911. Client verbalized that he feels much better. 10:15 patient is alert and oriented to person place time and situation, he safely ambulates to the car and his mother provides transportation.

6:45 Pt fainted face forward down while walking to 15 minute waiting area. Diaphoretic, pale, incoherent x1-2 minutes. Vomited x1 6:59PM Alert, pink. No sign of swelling or redness on face from falling. 7:15PM Released w/o assistance.

FLARE UP OF ULCERITIS COLITIS AFTER 7 MONTHS FREE. BLEEDING IN STOOL, PAIN ON LEFT SIDE OF ABDOMEN, HEART PALPITATIONS, INTENSE TINGLING IN LEGS ESPECIALLY IN LEFT LEG, INTENSE PAIN THROUGHOUT ENTIRE BODY, BACK PAINS, DIZZINESS, LOSS OF FOCUS, FATIQUE, NAUSEAU, SENSITIVITY TO LIGHT AND SOUNDS, DIFFICULTY BREATHING WHEN INTENSE FLARE UP OF NERVE SYSTEM, LOSS OF BALANCE, TREMOURS THROUGHT BODY DURING FLARE UPS. INABILITY TO CONTROL MUSCLES, MUSCLE TWICHES/SPAMS, INTERMITTENT HEADACHES, SWEATY PALMS WITH INTENSE PAINS, "CHARLIE HORSE" CRAMPS IN MUSCLES AFTER MUSCLE SPASMS, WEIGHT LOSS. BEGAN FEELING EFFECTS APPROXIMATELY 26-27TH JUNE 2021, ADMITTED 7/9 & IS CURRENTLY AT HOSPITAL AS AT 7/17/2021.

PATIENT EXPERIENCED SYNCOPE WHILE SITTING IN A WAITING AREA CHAIR, APPROXIMATELY 3-4 MINUTES AFTER RECEIVING VACCINE. THE PHARMACY STAFF RUSHED TO HIS ASSISTANCE, 911 WAS CALLED, AND STORE MANAGEMENT ASSISTED. HE WAS AWAKE A FEW SECONDS LATER AND DAZED. WE MONITORED THE PATIENT UNTIL PARAMEDICS ARRIVED. HE WAS IN GOOD SPIRITS AS HE LEFT WITH THE PARAMEDICS FOR FURTHER MEDICAL ASSISTANCE DUE TO A CUT ON HIS CHIN,ETC.

Heart and lung feels weird, and has heart palpitations; Heart or lungs feel weird; Never had asthma but it feels like asthma; Little bit difficult catching his breath; Arm pain; This is a spontaneous report from a contactable consumer. A 19-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection, Batch/Lot number and Expiration date was not reported), via an unspecified route of administration, administered in Arm Right on 26Apr2021 16:15 (at the age of 19-year-old) as dose 1, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. Patient did not take any other vaccines within four weeks prior vaccination. On 26Apr2021, patient experienced arm pain. On 27Apr2021, patient experienced heart and lung feels weird, and has heart palpitations, never had asthma but it feels like asthma, little bit difficult catching his breath. The events did not result in emergency room and physician office visit. The outcome of the event arm pain was recovered on 28Apr2021 while other events were not recovered. No follow-up attempts are needed; information about lot/batch number cannot be obtained.

Fever that went up to 103.5; Severe headache; Couldn't sleep through the nights.; Tons of sweating.; Muscle pains; Sore throat; This is a spontaneous report from a contactable consumer, the patient. A 19-year-old male patient received the first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: Ep6955), via an unspecified route of administration in the left arm on an unknown date (at the age of 19-years-old), as a single dose for COVID-19 immunisation. Medical history and concomitant medications were not reported. Prior to the vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On an unknown date, the patient experienced fever that went up to 103.5, severe headaches, couldn't sleep through the nights with tons of sweating, muscle pains and a sore throat. The events resulted in doctor or other healthcare professional office/clinic visit and emergency room/department or urgent care. Medicine was taken as a therapeutic measure for the reported events. On an unknown date, the patient underwent nasal swab and the result was negative. On an unknown date, the patient underwent lab test which included body temperature and the result was 103.5 (units unspecified). The clinical outcome of the events fever that went up to 103.5, severe headaches, couldn't sleep through the nights with tons of sweating, muscle pains and a sore throat were resolving at the time of reporting. No follow-up attempts are needed. No further information is expected.

Patient lost consciousness immediately after receiving first COVID-19 vaccination, reported to writer by MD on site. MD reports that patient did not hit head. Received patient conscious and in wheelchair at 1625 in nurse response tent. Patient reported dizziness/lightheadedness, shakiness, and "felt weird". Patient received rest, juice, water, reassurance. Patient recovered and was discharged at 1700 per recommendation of Dr., patient denies need for further care.

20 yo M with a medical hx of Congenital myopathy, anxiety, and seasonal allergies who presented for his second Pfizer vaccine. He experienced more anxiety after the dose and mentioned that his throat is littlie itchy. Denies Chest pain, SOB, Palpitations, dizziness, or rash. His Vital signs were stable O2 99% RA, HR 73, BP 124/84. Exam were unremarkable, Uvulae midline and no throat swelling, Lung clear to auscultation b/l, and no rash. Received 25 mg IM Benadryl and felt much better. Observed in tent for 30 min

I woke up in the middle of the night and felt like I was having trouble breathing. My chest hurts and every breath is painful. Can?t sleep due to the pain. Only happened today so going to get covid test then if problem persists past tomorrow I?ll go the doctors

20-year-old male with a past medical history of vasovagal episodes, cerebral palsy, dorsal rhizotomy and VP shunt followed by neurology, taking no medications presents to the ED for evaluation of a first-time seizure which occurred 1 hour ago 10 minutes after receiving a Covid vaccine. Mother states that the patient receive the Covid vaccine around 11:15 AM and 10 minutes later he became very pale the e-stim to left lower and patient he had generalized body convulsions lasting less than 1 minute and turned very pale/cyanotic. When he stopped seizing mother states that he was slightly confused as to what had happened and continued to be pale. Patient is completely at baseline at this time answering questions appropriately, however he still complains of having dizziness with sitting up or standing. Patient is answering all questions appropriately. He denies any numbness or tingling. He states he generally feels slightly weak but there is no focal weakness. No headache, nausea, vomiting, diarrhea, recent head trauma, abdominal pain, chest pain or palpitations.

Dizziness upon standing and walking, nausea, clamy and warm skin, sweaty, pale, tunnel vision, loss of acute memory, vision, and hearing. Patient was watched from 3pm (right after dose) to 3:30pm. He was feeling these symptoms from 3pm to about 3:15pm. He was given water after 5 minutes and cold wash rags to put on his forehead and neck. He was also told to breath deep breaths slowly. He said his throat felt sore and was provided with a throat lozenge. Color in his face returned after roughly 10 to 15 minutes and he verbally said he was feeling much better. Pharmacy associates watched him for another 15 minutes to make sure he was okay.

Dose received at 6:05PM. Patient was seated in waiting area and around 6:10PM a loud noise was made due to metal chairs moving in the waiting area; upon turning around patient was face down on the floor with his head turned to one side. I ran to offer assistance and cushioned his head with my hands. EMS was dispatched immediately. Patient was already starting to come to after losing consciousness for approximately 10-15 seconds, looked confused for about 15 seconds and then seemed to return to a normal mental state immediately after. He was able to give his name and info and knew exactly where he was, etc. and he stated he felt much better. He was able to confirm he hit the side of his head on the floor, however it was not bleeding. I asked if he wanted me to call anyone for him but refused the offer. His blood pressure was taken at 6:15PM by us then again when EMS arrived at approximately 6:20PM and was 140/100. He was checked out by EMS, including a blood glucose reading of 81 and seemed to be okay. They offered to take him via ambulance to the hospital, especially given him hitting his head, but he refused the offer. He explained a similar incident occurred when he received IV contrast dye in the past. He was able to sit up and then stand up without any issues. He continued to wait in the waiting area for about 10 more minutes before leaving to ensure he felt back to normal. I followed up with him at 8:20PM via telephone and he stated he was feeling normal and had no questions/concerns. I assured him he could reach back out to me personally or the store here if he had any questions/concerns in the future.

Extreme sweating and discomfort, muscle pain. Nausea and headache day after vaccination. Arm sore during day of vaccination, adverse effects worsened overnight causing loss of sleep

Very sore and swollen lymph node in right armpit, general body aches, exhaustion without ability to fall asleep (restlessness during day and at night)

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe

Patient received his second dose of Pfizer COVID Vaccine on 13 Apr 2021 at about 9:30 AM. That afternoon, he began to experience chills, body aches and back pain. Later that night, unable to sleep, he began to experience visual hallucinations, to include a demon to his immediate left, a candle in his far left periphery, shackles, the room going dark and feeling like he was stuck in a time loop. In addition he experienced auditory hallucinations, to include a demon yelling and people whispering. He took ibuprofen that afternoon for his chills. No known psychiatric history or drug use. He denied suicidal ideation. Has a history of back pain for which he has been seeing physical therapy for several months. Enjoys his job with no identifiable unique stressors. Work up in the Emergency Department included CBC, electrolytes, Urine drug screen, ETOH, procalcitonin and urinalysis. All were normal, with the exception of an elevated neutrophil count and low lymphocyte count. Head CT was normal as well.

20 y/o Male received Pfizer vaccine 1 dose at 1:45pm, while in the recovery area, @ 1:55 when standing to exit as his 15 minute wait period had completed, c/o dizziness, was assisted back to the chair by the recovery nurse, stated, "I don't feel right", noted to have a staring gaze, speech slow but responsive, diaphoretic, initial vitals 1:56: 109/87, 89,20, stat 99% on RA, skin color pale. Repeat vitals @ 1:58 : 122/80, 104, stats 94, awake, very slow responsively, continued w/staring gaze, 911 called. Arrived at 14:03, Engine #2 arrived, patient evaluated, vitals stable @ 116/79, HR 75-78, Resp: 16-20, BG 136, EKG WNL, AAOX4, Patient declined transportation to ED, AMR cancelled, remained in recovery for add'l 15 minutes for ongoing monitoring, DC vitals @ 2:19pm: 11/78, 68, sats 97% on RA, exited from recovery w/Father, stable, ambulating freely, in no further acute distress.

After administering vaccine, patient stated he was very anxious - has a history of needle phobia. He then stated he was going to faint and I assisted him to the floor. He temporarily lost consciousness ( less than 20 seconds). He appeared diaphoretic. He regained consciousness and appropriately responded to my inquiries. I assisted him to a chair where he sat for 3 - 4 minutes then said he was feeling better and wanted to leave. His mother was in the waiting room and took custody. She confirmed she was present due to this happening before.

Patient reported he was dizzy and felt "out of it". During assessment he began to report sour taste in mouth and burning/itching in throat. Benadryll 25mg IM and EPI-pen 0.3 mg were administered and effective. Pt was transported to ED for evaluation.

Patient fainted within 10 minutes of receiving Pfizer Covid vaccine. He reminded confused and drowsy for the next 10 minutes. His parents asked me to call 911

patient reports left arm swelling, tingling and numbness. Patient educated that is normal to have some swelling and numbness in the vaccinated arm. patient instructed if new or worsening symptoms occurred, after 2 minutes patient stated that she felt less anxtous knowing that symptoms were expected

Pfizer-BioNTech COVID-19 Vaccine EUA Severe headaches lasting 6 days from 4/15/21-4/21/21, occurred always at same time of evening ~5pm, discussed as cluster headaches or migraines by Student Health but concerned of Pfizer adverse effects and sent to ER for further determination if these are delayed adverse reactions from Pfizer Covid vaccine shots. CT Scan was taken, negatively impacted study and work, physical and emotional tolls from not being able to sleep or completing my assignments. The acute headache onset was after the first shot of Pfizer Covid vaccine Sent to emergency room (4/21) by Student Health. ER doctor impression acute non-intractable headache. Given tylenol, benadryl, and IV reglan. Headaches ended

Reason for visit: Pfizer vaccine reaction HPI 20 year old 1st dose of Pfizer vaccine 6:15 PM mon 4/5/21 observed for 15" and mild pain at injection site Tuesday 4/6/21 noticed that his lips were feeling "sensitive" But didn't notice any swelling-sometimes gets similar feeling when he is fatigued Wednesday 4/7/21 noticed swelling of his lips. Called parents. Lips were swollen and he noticed some drainage of clear fluid-if he took a tissue and pressed against his lips would be a small amount of fluid. No blister. Took 200mg of ibuprofen once. Right now lips are dry. Today still feels like lips are swollen top and bottom and feels dry and "hard" Admits to cracks at angle of lips No swelling tongue or throat. No rash, flushing, rash, dizziness, lightheadedness, presyncope, syncope, n/v/d, difficulty swallowing or breathing, itching, diaphoresis No hx cold sores. No prior history of allergy No known allergies. No allergy or reaction to vaccines, food, medications, stings/insects No seasonal allergies, asthma, ecezma ACTIVE PROBLEMS: There are no active problems to display for this patient. REVIEW OF SYSTEMS: Per HPI No fevers, chills, loss taste or smell, myalgia/arthralgia, chest pain, dyspnea, cough, conjunctivitis PERSONAL HISTORY: No cig/vaping/marijuana No ETOH Not kissing anyone, not sharing drinks, not sexually active CURRENT MEDS: ibuprofen Allergies: Allergies Allergen Reactions ? Pfizer Covid-19 Vaccine (Eua) [Covid-19 Vacc,Mrna(Pfizer)(Pf)] Lip Swelling Patient reported vitals/weight: There were no vitals filed for this visit. Weight lbs. Exam: + dry skin upper and lower lips, + lesions with yellow crusting, largest left upper lip and along lower border ASSESSMENT AND PLAN: o Swelling of both lips (primary encounter diagnosis) Suspect delayed allergic reaction to the 1st dose Pfizer vaccine Lip swelling Still with mild swelling, dry peeling skin, and yellow crusting Start zyrtec 10mg daily Start mupirocin three times a day Report any new or worsening symptoms Student knows to call Acute Care. Gave Dr.'s cell phone number if he cannot get thru to AC Follow up with me Monday Forward visit note to EH Refer to Allergy clinic for recommendations regarding 2nd dose Pfizer vaccine I have reminded them of our office number should they need a more urgent appointment. Return in about 3 days (around 4/12/2021) for in person visit for follow up allergic reaction. No orders of the defined types were placed in this encounter. Requested Prescriptions Signed Prescriptions Disp Refills ? mupirocin (BACTROBAN) 2 % cream 15 g 0 Sig: Apply topically 3 (three) times daily for 7 days. I spent 25 minutes with the patient, of which 15 minutes were spent reviewing data, counseling and coordination of care. Specifically we discussed my impression of the etiology of the patient's symptoms, interpretation of test results, management plan, and acute symptoms for which to seek immediate medical attention.

04/29/2021 5:30pm - chills, pins & needles, soreness 8:00pm - 100.8 degree fever, chills, soreness, joint pain; two 200mg ibuprofen tablets take & cold wet towel placed on forehead 9:30pm - 101.2 degree fever, chills, soreness, joint pain 11pm - trouble sleeping, confusion, chills, soreness 04/30/2021 1:00am - fever, chills, soreness; two 200mg ibuprofen tablets take & cold wet towel placed on forehead 7:00am- 98.0 degree temperature, soreness, slight joint pain; one 200mg ibuprofen tablet taken 11:30am~5:00pm - slight occasional chest pain (around sternum) 7:00pm - soreness in arm only, headache

Today, I had this weird metallic taste in my mouth. I saw some other people online had noticed this after their shot too, so I wanted to let y'all know. When I got the shot at first, my arm really hurt at the site of the shot and as I walked back home afterwards, my whole left side felt weird. That evening, I was extraordinarily tired. Now I feel better, but that was a doozy

Acute onset chest pain began 4/11/2021, he took NSAIDS and tried to sleep. The following day, 4/12/21 the chest pain was still present. He was admitted to hospital and diagnosed with acute myo-pericarditis. He was treated with Colchicine with improvement in his symptoms.

Pre-syncope within 5 min of vaccine administration HR 60-70, BP 90's/60, O2 sat initially 83%- error- repeated- 99% on RA Laid on floor, O2 administered for 2 min 2/2 O2 sat above AAO, answered questions appropriately, RRR, CTA b/l, diaphoretic thin AAM Denied HA, chest pain, dyspnea, weakness or numbness Ate pretzels. Declined hospital visit. Appt made for today at Drexel student health clinic. Encouraged pt to report event in v-safe. Student plans to call out of work today to rest.

Pt arrived to clinic for Covid-19 Vaccine, first dose. No hx of allergies to food, medicine, or vaccine. Hx of anxiety, no history medication management for anxiety. Vaccine administered at approximately 1:20pm, pt advised to remain in clinic for routine monitoring for 15 min. RN reports pt appeared anxious prior to vaccine. 1:45 Pt denied signs and symptoms of allergic reaction after receiving Covid vaccine, and was allowed to exit clinic area. Pt left with steady gait, no distress reported. 1:49 Pt returned to clinic, c/o throat and tongue feeling warm, pt appeared anxious and pale. PT placed in seated position RN at pt side. 1:50 J. Staff at pts side. Vitals BP 170/110, HR 121, RR 26, 98% o2. EMS called by RN. Epi pen ready at pts side, no Epi administered at this time. 1:52 Pt continues to present pale, small cough noted, pt denies swelling to throat, reports warm sensation to tongue and throat, ?My tongue and throat feel different.? Noted redness to outer sclera bilaterally. Speech clear. Sat 98% HR 117 2:10 Vitals: BP 180/100, HR 130, RR 26, 98%, pt pale, speech clear, pt remains alert and oriented. 2:13-EMS arrived, report given to EMS by Pharm, pt remains alert but pale, PT left clinic via gurney with EMS.

Patient was very nervous prior to administration. After receiving the vaccination, pt walked back to his waiting area, then asked for assistance. He lost consciousness for a few seconds and briefly convulsed/arms contractured up. This lasted less than 20 seconds in total but he was slow to fully regain awarenesss/consciousness. This returned over the course of 1-2 minutes. EMS was called and responded. They spoke with the patient but by this time he had consumed 8-16oz liquid, eaten a snack, and was fully aware and alert.

patient experienced a vagal response about 5 minutes after shot. patient seemed fine first few minutes was comforting friend who was nervous. lab who we share space with noticed he slumped he was out for less than a minute. pt said he felt like he feel asleep. technician very familiar with this reaction and monitored him closely. after he was stable place in an incline position in the blood draw room. patient states he did not eat or drink that am, and was a bit nervous. he was given water and food (after he was stable) we monitored him for over 30 minutes which he then left on his on accord feeling much better.

Patient during his observation period @1010 reported symptoms of HA, lightheaded, joint pain, and shortness of breath following Pfizer vaccine administration. Patient was provided 25mg Benadryl @1018 and legs elevated for possible allergic and syncopal symptoms respectively. After no immediate clinical improvement, patient was transferred to ED via EMS . Patient did not require any interventions in ED and was diagnosed with Anxious reaction to vaccine. Patient released to home.

Pt experienced dizziness post vaccination. States anxiety present "because of needles." No s/sx of respiratory distress. Given juice/water, laid down on stretcher. Pt states this happens any time he is in a medical facility. Sx resolved after 10 minutes. Monitored for 10 minutes, pt left on own

pt had been give the immunization and asked to wait in the waiting area, about 5 minutes later his sister yelled that they needed help. he had said he felt faint and then passed out falling to the side and out of the chair, she states that she saw him "seize" when he hit the ground, but stated that he did not hit his head. When I came upon him his eyes were open and he was able to answer questions. he stated that he did not have any problems breathing, but felt dizzy. He was very clammy so we took his bp and it was 142/65 pulse 64, gave him an ice pack and had him stay laying down. He sat up after awhile and took a few sips of water but started to feel light headed again so we had him lay back down. His bp went down to 105/58 pulse 61, but then came back up to 136/81 pulse 75 as he was starting to feel better. He started to get more color in his face and feel less clammy so I stayed sitting up. We put him in a chair eventually and the EMTs arrived shortly later. They did and evaluation, but as they were talking about whether or not to take him to the hospital he passed out again. The EMTs said he was probably having some anxiety to needles. He then said that he had passed out giving blood once. They took him to the hospital for further evaluation.

I got out of my truck and collapsed; I had a grand mal seizure, seizing for 5 plus minutes; Slammed my head repeatedly on the concrete during the seizure leaving my head bleeding and cuts all over me.; Slammed my head repeatedly on the concrete during the seizure leaving my head bleeding and cuts all over me.; I leaned forward slamming on the gas colliding with another vehicle.; I don't remember starting my vehicle; This is a spontaneous report from a contactable consumer (patient). A 20-year-old male patient received his first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot Number: EP7533), via an unspecified route of administration at the age of 20-year-old at arm left on 21Apr2021 22:30 at single dose for COVID-19 immunization. Medical history included epilepsy, haven't had a seizure until now for 2 years. Prior to vaccination, the patient wasn't diagnosed with COVID-19. Concomitant medications included Men's Multivitamin GNC and fish oil received within 2 weeks of vaccination. Patient didn't receive any other vaccines within 4 weeks prior to the COVID vaccine. The was leaving he apartment complex to go to school after work around 7am 23Apr2021, the patient didn't remember starting he vehicle, but he leaned forward slamming on the gas colliding with another vehicle. he got out of his truck and collapsed, he had a grand mal seizure, seizing for 5 plus minutes, having to go to the emergency room, he slammed his head repeatedly on the concrete during the seizure leaving his head bleeding and cuts all over he. He was now unable to drive for 6 months and need to get an MRI an EEG and be put on medication. Adverse events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care, Hospitalization. The patient was hospitalized for one day for events. Facility where the most recent COVID-19 vaccine was administered in workplace clinic. Since the vaccination, the patient hasn't been tested for COVID-19. The patient was received treatment for all events. The outcome of events was unknown. Follow-up attempts are needed. Further information is expected.

After the vaccination, there was no chair in pharmacy so that he could sit and wait the 15 minutes inside the place, so we had to go to the car to wait the 15 minutes, that was when the person began to feel very cold and lost consciousness for about 2 minutes. His head fell and also his upper limbs stiffened with twisted hands as if it were a convulsion, as if it were a tonic phase. His skin turned white and he didn't react. I put alcohol gel all over his face and body, then he began to react, little by little his body color returned but he does not remember anything that happened in those minutes.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Nausea-Medium, Systemic: Visual Changes/Disturbances-Severe, Additional Details: Pt repoted symptoms about 10 minutes after receiving vaccine. Pt was very pale, had cold sweats and felt like he was going to faint. Pt reported that he could not see. Pt reported feeling nauseated. Pt seemed to improve after he layed down and feet were elevated. Pt was taken to the hospital via ambulance. I cannot get ahold of pt to see if his conditon improved/worsened.

Overactive thyroid; Shortness of breath; Chest tightness; Fever; Fatigue; Anxiety; Panic; This is a spontaneous report from a contactable consumer (patient). A 20-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EW0151), via an unspecified route of administration in left arm, on 15Apr2021, as second dose, single, for COVID-19 immunization. The patient's medical history included asthma and allergies to tree nuts and penicillin. The patient's concomitant medications included fluticasone propionate (FLOVENT), salbutamol sulfate (ALBUTEROL), and an unspecified multivitamin. The patient previously took montelukast sodium (SINGULAIR) and bacitracin/ neomycin sulfate/ polymyxin B sulfate (TRIPLE ANTIBIOTIC Ointment) and experienced allergies to both; and the first dose of BNT162B2 (Lot Number: ER8727) on 19Mar2021 at the age of 20 years for COVID-19 immunization (right arm). The patient was not diagnosed with COVID-19 prior vaccination. No other vaccine was administered in four weeks. On 15Apr2021, the patient experienced initial anxiety or panic after shot was given. On 16Apr2021 (next day), the patient had fever and fatigue. The second day after (17Apr2021), the patient had shortness of breath and chest tightness. After several trips to the emergency room, the primary care physician (PCP) did laboratory tests that diagnosed an overactive thyroid (17Apr2021). Symptoms still remain and are being treated by an endocrinologist. Treatments included methimazole, lorazepam (ATIVAN), and diltiazem. The adverse events resulted in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. The patient has not been tested for COVID-19 post vaccination. The patient had not recovered from the events.

In the middle of the night he stood up to go to the bathroom, turned the light on, felt dizzy and light headed. Passed out and woke up confused unable to speak correctly and unstable when trying to stand up. Eyes were dilated. After he layed down for a few minutes he was ok, could walk and talk fine. Migraine Chills Slightly warm

Pt was w/father who reported that pt felt dizzy & anxious. Pt reported improvement after laying down & drinking juice/water. BP 144/90; HR 72; RR 18. Pt was stable & released from vaccination site.

Patient slumped over in waiting chair shortly after vaccination. Felt like he was going to pass out he said, he got really sweaty and a little shaky. He slumped over twice for about 3 seconds each time, but he was easily woken up and was able to tell me his name. His symptoms lasted about 15 minutes after his vaccination. He drank some water and had some candy. He felt much improved.

The patient received his COVID vaccine and about 5 minutes later reported feeling funny. The patient was nervous before getting the vaccine. After the immunization, the patient felt he needed to lay down on the floor. We had the patient lay on the floor and elevated his legs. I also took the patient's blood pressure which was 90/60, the patient stated his blood pressure always ran a bit low. We also gave the patient an ice pack. 10 minutes later the patient said he was feeling better and got back into his chair. We observed the patient an additional 15 minutes and then he left feeling fine.

Systemic: Confusion-Mild, Systemic: Diarrhea-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Severe

Please see housestaff note for full details. In brief, 20-year-old neurologically normal man with history of asthma now presenting with new onset fever, headache and then status epilepticus. On 5/25 the patient received his second dose of COVID vaccine and then started to have intermittent fevers up to 102.5. This was associated with malaise, nausea, fever, headache, myalgias. He came to ED on 5/30 and had IVF, analgesics and a cardiac workup that was unremarkable and was discharged with diagnosis of possible pericarditis/myocarditis. He then had ongoing worsening headaches and increasing fevers and was unable to get out of his bed, and so his wife called 911 and he came to ED on 6/3. There he had vomiting and transaminitis and was diagnosed with gastroenteritis treated with flagyl. Headaches progressed and were associated with dizziness; he had HCT read as unremarkable but then while awaiting MRI had convulsion. He was returned to his room and had two more and thus was intubated, placed on propofol/versed, Keppra, dilantin, and broad-spectrum antibiotics and acyclovir before transfer to UCSF. on 6/5/2021 found to have reduced urine output, and serum creatinine found to be 1.72 and climbed >7 in days later normalized spontaneously with fluid support to 4.26 with continued improvement. LFTs were also found to be elevated. Was acutely encephalopathic. Seizures resolved on Keppra treatment though had acute agitation for several days. Slowly returning to neurologic baseline. with AKI and LFTs slowly normalizing.

Around 8-10 hours after my second shot, I started to get joint pain in the arm I got the shot. It worsened over time as I was working the night shift and using the arm. Nearing midnight that same day, I started feeling feverish, and when I got home at 1:15am I got some water and tried to sleep, but it's 6 hours later and I haven't been able to sleep at all.

neurological symptoms such as anxiety and depression; neurological symptoms such as anxiety and depression; flu like symptoms; fevers; chills; diarrhea; chest pain; shakiness; This is a spontaneous report received from a contactable The reporter. This The reporter reported for a 20-year-old male patient (Reporter's son) via medical information team. A 20-years-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: Unknown), via an unspecified route of administration on 14May2021 (20-year-old at the time of vaccination) as 1st dose, single dose for COVID-19 immunisation. Medical history included illness from an unknown date and unknown if ongoing. He has been to the doctor for sick visits 20 times in 20 years. The reporter also stated that there are no mental health issues noted in their family history. The reporter also stated that the patient was overall healthy with no significant medical history in the past. The patient's concomitant medications were not reported. The reporter reported that patient received the first dose of the Pfizer COVID 19 vaccine on Saturday and by Monday was having flu like symptoms, fevers, chills, diarrhoea, chest pain, shakiness, as well as other neurological symptoms such as anxiety and depression. He has been to the doctor for sick visits 20 times in 20 years. After receiving the COVID 19 vaccines, the patient has been seen by the doctor 3 times in one week. The patient's side effects have lasted 3-4 weeks. The reporter would like to know commonly reported side effects of the vaccine and their duration. The reporter would like to know the efficacy of only one dose of the Pfizer COVID 19 vaccine as the patient was hesitant to get the 2nd dose due to the side effects noted from the 1st vaccine. The reporter was advised per "attached" dose for efficacy after one dose. The reporter was not satisfied with this data and wanted to know more about what she had been read about online. The reporter was advised caller agent as could do some more research and contact her back with possible additional data which caller agreed to doing. Upon call back on 14Jun2021, advised caller per (website "PRIVACY") from 10Dec2020. The cumulative incidence of COVID-19 cases over time among placebo and vaccine recipients began to diverge by 12 days after the first dose, and 52.4% vaccine efficacy (95% confidence interval: 29.5, 68.4) was observed between dose 1 and dose 2, indicating the early onset of a partially protective effect of immunization. Two doses of vaccine provide the maximum protection observed. Ten cases of severe COVID-19 were observed with onset after the first dose. Nine cases occurred among placebo recipients and one among BNT162b2 recipients. The reporter would like to know dosing interval between shot one and two. Patient had their 1st dose on 14May2021 and has not received the 2nd dose yet due to side effects from what they felt was caused by the 1st dose of Pfizer COVID 19 vaccine. The reporter received response as "you should not get the Pfizer-BioNTech COVID-19 vaccine if you had a severe allergic reaction after a previous dose of the vaccine or if you had a severe allergic reaction to any ingredient of the vaccine. The decision to receive the second dose for any other reason cannot be made by Pfizer. We refer you to speak to your healthcare provider about the risks of the vaccine compared to the risks of potentially not being fully protected against COVID-19 infection. Your healthcare provider knows your health situation and has access to information that can better help inform this decision". The reporter wanted to know should the patient get the 2nd dose of the Pfizer COVID 19 vaccine after the reported side effects of flu like symptoms, fevers, chills, diarrhoea, chest pain, shakiness, as well as other neurological symptoms such as anxiety and depression. The reporter received response as do not administer Pfizer-BioNTech COVID-19 vaccine to individuals with known history of a severe allergic reaction (e.g., anaphylaxis) to any component of the Pfizer-BioNTech COVID-19 vaccine. The outcome of the events was resolved in 2021 Follow-up attempts are needed. Information about lot/batch number has been requested

Headache while idle, and once I move and walk around I have random migraine spikes that last from 1-30 seconds making it impossible to drive, walk, jog, exercise, go to work, exc.

PT wasn't feeling good and appeared pale white after administration of the vaccine. pt fell unconsisious after 5 mins and emt was called. pt refused to go to hospital with them

Site: Pain at Injection Site-Medium, Systemic: Chest Tightness / Heaviness / Pain-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Additional Details: It seemed that patient was experiencing anxiety and mild syncope from the vaccine. His BP was 106/57 with pulse 59. I had him stay seated until the color came back in his face and he stopped sweating. He was much better by the time he left the store.

Patient asked to stay seated immediately following vaccination, as he has a needle phobia. Shortly after (roughly 5 minutes), patient said he felt extremely lightheaded and shaky. He accepted a glass of water, but after taking a few sips said his vision was starting to black in and out. 911 was called immediately. EMTs checked that patient's blood pressure and heart rate, and eventually concluded the patient was okay after giving him more water and a banana to eat.

When reviewing forms with patient the patient disclosed a shellfish allergy. He described the symptoms of his skin turning red, shaking, and swelling in his throat as swelling in the past. He indicated that he had needed to use an epi pen in the past for his allergy. He still wanted the vaccination and knew we had an epi pen handy. He was given the vaccination in his left arm and was set up next to the staff development employee who was timing and monitoring patient's for symptoms. An epi pen was given to the monitor so it would be handy. The patient's right hand started shaking within a minute and it was hard to tell if it was from being anxious. Patient continued to communicate verbally and stated he wanted to use the epi pen. 911 was called by the staff and the staff member with the epi pen took it and the patient out of the main area. Paramedics transported him to the hospital with slight tachycardia and never did administer epi pen while in facility. Patient was always conscious and able to verbally communicate.

PATIENT EXPERIENCED A VAGAL REACTION DUE TO ANXIETY. BLOOD PRESSURE WAS LOW. ORAL REHYDRATION GIVEN WITH WATER. BP IMPROVED. MONITORED FOR 15 ADDITIONAL MINUTES AND RELEASED WITH MOTHER

Patient states that on day of vaccine, after receiving vaccine he felt tired, didn't feel well. Around 8pm that evening, he began having chills and didn't sleep well. On 19MAR, patient states he felt tired and vision got blurry while driving. Last thing he remembers is EMS personnel in ambulance stating that BP was very low. Patient states that while trying to brake prior to accident, he felt like he couldn't move his foot and stayed on the accelerator because he couldn't move his foot. MVA 19 Mar 2021. States following his COVID vaccination on 18 Mar, he had fevers, chills, and body aches that night and into the next day. While driving to work on 19 Mar at 0900, he struck another vehicle from behind while traveling 40mph. States his vision went blurry and he was unable to move his leg off the accelerator. He was wearing his seatbelt and the airbags deployed. Denies any LOC. He was taken via ambulance to. Imaging performed, as above, unremarkable. SM denies any issues today and feels well, besides neck pain. Unremarkable neurologic exam in clinic, no focal neuro deficits. MACE completed and showed a 2 point improvement from yesterday. Discussed importance of physical and mental rest, limit caffeinated products. Light indoor duty and no PT for next 3 days. Will f/u on Friday, 26 Mar 21.

1450 pt arrives to observation unit following his injection complaining of feeling warm, sweaty, dizzy, and a little fuzzy. this episode lasted about 10 seconds BP 137/86 HR 75 Oxygen st 98% room air 1455 pt is feeling better since arrival he is drinking water and tolerating it well. BP 133/79 HR 78 oxygen 98% room air 1502 pt is standing and feeling better standing BP 134/78 1510 pt is released from observation taken to exit via wheelchair

Systemic: Confusion-Mild, Systemic: Fainting / Unresponsive-Medium, Additional Details: VS X 3- 1st BP 122/90, HR 100, RR 20, SATS 98% RA; 2nd bp126/92, hr 81, RR 18, O2 SATs 98 RA; 3rd BP130/82, HR 80, RR 20, O2 SATs 98% RA. delayed syncope episode < 5 minutes after IM injection, reported dream-like feeling before fainting, confusioned but recovered quickly.

Felt anxious about the shot and got it at 10:48, started feeling dizzy at around 10:55 during the 10 minute waiting period, then started to black out and I immediately told the nurse who's quick actions prevented me from fully fainting (laying me down and giving me food/water and elevating my legs). Blood pressure was fine she said along with O2 levels. Left around 11:25 after I felt able to. We both think this was likely related to the anxiety about getting the shot itself (I have anxiety in general so it was not paired with a mistrust or anything about the vaccine) and began fainting 7 minutes after getting the vaccine. I was anxious about any possible symptoms and needles/shots/blood draws make me feel uneasy. However, this issue was not present with the first shot.

Systemic: Confusion-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Seizure-Severe, Additional Details: patient had an abscense seizure immediately after sitting down

Patient received vaccine at approximately 3:00. Patient c/o feeling light headed, nauseated and showed signs of being disoriented. Patient was evaluated by EMS which were onsite to monitor individuals after being vaccinated. EMS stated that the patients vitals were WNL but was going to transport patient to ER for further evaluation. Patients status is unknow at present time.

Patient presents post vaccination complaining of heart palpitations, new sore throat, redness and pain at injection site and reporting "feeling different". RN triaged patient and took patient to ER for further evaluation.

Chills; fatigue; dehydration; trouble sleeping and staying asleep; trouble sleeping and staying asleep; headache; This is a spontaneous report from a contactable consumer (patient). A 21-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EP7533), via an unspecified route of administration, in Left arm on 29Mar2021 at 12:15 PM (at the age of 21-years-old) at a single dose for COVID-19 immunization. Medical history included asthma. The patient's concomitant medications were not reported. The patient previously took Wellbutrin and experienced allergies. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot number: EN6206), via an unspecified route of administration, in Left arm on 08Mar2021 at 01:15 PM at a single dose for COVID-19 immunization. No other vaccine was given in four weeks. Prior to vaccination, the patient was not diagnosed with COVID-19 and since the vaccination has not been tested for COVID-19. The patient experienced chills, fatigue, dehydration, trouble sleeping and staying asleep and headache from 30Mar2021 at 05:00 AM. No treatment was given for the events. The outcome of the events was recovering. No follow-up attempts are needed. No further information is expected.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Hypotension-Mild

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Medium, Additional Details: Patient states difficulty breathing and SpO2 using pulse oximeter was at 91. Epipen given due to patient stating hardness of breathing and low BP.

Patient had nausea & vomiting x1, weak, felt nervous. Instructed to go to ED if feeling worse (N/V), fainting, shortness of breath/chest pain. Patient stable, released from vaccination site.

Patient experienced expected aches on 4/29 but ended up in emergency room with neck and shoulder spasms the evening of 4/30/21. That resolved with a muscle relaxant and injection of toradol, but then on Mon May 3 begin experiencing massive new onset of anxiety and overwhelming depression (has never had this before). Unresolved as of today May 5 requiring patient to call off from work and be supervised 24/7 for safety. + loss of appetite. Currently in care of safe, healthcare trained family awaiting outpatient appointment and therapy.

Approx. 5 mins after vaccine, client c/o dizziness, anxiety, tingles in body, shaking, nausea and appeared diaphoretic and had facial pallor. V/S taken. 10:02am: BP 112/60, HR 66, O2 97. 10:20am: BP 122/64, HR 77, O2 97, RR 18. 10:40am BP 126/80, HR 68, O2 99, RR 18. Client remained in observation until 10:56am, denies dizziness, anxiety, nausea, tingles, itchiness. Left with steady gait, unassisted, was driven home by a friend.

21yoM states that on 25 March 2021, he noted 25 minutes after his 1st dose of Pfizer vaccines, he noted a throat tightness, feels tight, scratchy, noted a hoarse throat with some voice changes. He felt throat tightness made it hard to breath, he had associated lightheadedness, felt anxious, almost like a wheezing sound when breathed in and out in his upper neck. When he stood up, he did feel like he needed to hold onto something to steady himself, had some tunnel vision, improved with sitting down and closing his yes and taking deep breaths. He felt warm at the time, not cold or clammy. His friend said he looked ghostly white, no flushing, no hives, no angioedema. No sense of impending doom. He did take Zyrtec the day that he received the vaccine. He waited the 15 minutes after vaccine without symptoms, and had walked back to class by the time it started. Between the vaccine and symptoms onset, he denies eating anything, being stung by anything. He told a friend about his symptoms, and he returned to the hospital via base taxi arrived at ER. Symptoms were still occurring about 60 minutes after vaccination when he arrived at the ER. In the ER, he underwent exam, was given oral Benadryl. His symptoms of scratchy throat lasted for 2 days afterwards with some associated fatigue, post-nasal drip. He denies other symptoms. No fevers or chills. Small amount of pain and a ?knot? at the injection site the next day, but minimal according to the paitent. Denies hives, angioedema, SOB, wheezing, nausea/vomiting, no diarrhea, abdominal pain, nasal pruritus/congestion, ocuarl itching/redness, no syncope. No h/o vaccine reactions before. No h/o passing out before at all, specifically not to needles, blood draws, or vaccines before. No h/o venom or drug allergy. He does report a history of apple allergic reaction 1 year previous when eating a raw apple, felt his throat close within 15-30 minutes, no hives or other systemic symptoms. He took oral Benadryl and went to ER. He was given oral Benadryl, no Epipen. He followed up with his PCM regarding possible apple allergy and was told to avoid apples, but was never tested for apple allergy. Since then, when he drinks apple juice, his throat will start hurting, but otherwise, he has avoided raw and cooked allergies. He does report seasonal rhinitis symptoms that are worse in the fall. He takes allegra as needed to treat these symptoms. He is not carrying an Epipen currently

Woke up sometime around 18 Hrs post vaccination (2nd Dose). Extreme chills, dehydration, and skin tempreture (Internal showed normal at 97.9)

Patient warned immunizing pharmacist of anxiety condition following review of VAR and possible adverse effects of vaccine. Immediately following immunization delivery into left deltoid patient became still, quiet, and unresponsive to pharmacist. He began to slump left into the chair and the immunizer and the patient's female friend held onto him so he would not fall from chair. After roughly 15 seconds patient sat up and after another 15 seconds asked what happened. Within a minute he was fully responsive and aware of his surroundings. Patient appeared to understand where he was and what happened. He was given orange juice and remained sitting for another 15-30 minutes. Afterwards patient ambulated to pharmacy counter, received his vaccine card and was able to leave on their own.

Pericarditis diagnosis: This is a 21 year old male who presented to the emergency department on 4/27/21 with a two-day history of chest pain. He was seen in a emergency department on 4/26 and reported a normal EKG, blood work, and x-ray. He was discharged home. His was worsened so he reported to an urgent care in . That team had a concern for pericarditis, so referred the patient to the emergency room. He had a reproducible pain over the costal margin but did describe a positional component. Provider felt they still had to consider pericarditis as well as costochondritis. The suspicion for pulmonary embolism or acute coronary syndrome or very low. The suspicion also for myocarditis was low. His EKG did show some J-point elevation versus ST elevation in the anterior and lateral leads. There was no evidence of reciprocal depression. His troponin test was normal. His CBC and metabolic panel were normal. He had had CRP which was mildly elevated at 4.6. A bedside point-of-care ultrasound showed no evidence of a pericardial effusion. Provider felt it was reasonable to treat him for pericarditis although his EKG is not classic for this. It was recommended he use his scheduled ibuprofen 600 mg 3 times a day. He was also given a 1 month course of daily colchicine 0.6 mg. It was recommend he follow closely with his PCP to see if he needs to have this colchicine course extended. He will follow-up with his primary doctor in 1 week for repeat check.

About 5 minutes post vaccination, the patient's girlfriend stated that he slouched over dropping his phone with his eyes closed. He came to it right away, but seemed confused. Patient stated that he had breakfast & drake coffee, but no other beverages. He stated he felt dizzy and was was given a bottle of water to sip on. He progressively become more pale in the face and lips. EMT was altered and his BG and BP were taken. His BG, BP and HR were all reported low. The EMT gave him M&M's and chocolate milk to help elevate his BG. The patient declined ER visit, but was advised by EMT to follow up with PCP.

Shortly after getting the first vaccine and into the next day, I had sharp 'pins and needles' feeling in my lower abdomen, huge shortage of breath (Barley being able to breathe), extremely bad 'vertigo-like' symptoms. Very dizzy, blurry eyesight, not being able to stand up or hold my balance, my heart felt like it was doing weird things.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Patient passed out about 5 minutes after receiving the covid vaccine, he was sweaty, and recovered after a few minutes, we gave water and crackers

After patient received first Pfizer Covid 19 vaccine approximately 5 minutes after, the patient fainted, he was dazed for about 2 to 3 minutes and then awoke. He completely recovered after approximately 10 minutes. Refused care of EMS and stated he was fine.

Heart was pounding very hard and fluttering. Blood pressure and heart rate were elevated. Experienced shortness of breath and restlessness. Felt a sense of panic. All these symptoms came on quite suddenly, about 8 hours after receiving second vaccine dose. The symptoms subsided after about an hour.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Shakiness-Mild, Systemic: Tinnitus-Medium, Systemic: Visual Changes/Disturbances-Medium, Systemic: Weakness-Severe, Additional Details: The patient appeared shaky and disoriented after given the Pfizer vaccination.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Headache-Medium, Systemic: Hypertension-Medium, Systemic: Nausea-Severe, Additional Details: Patient was given the Pfizer Covid-19 Vaccine. About 2-5 minutes after receiving the patient stated he felt a "headache" and immediately lost consciousness. Patient was seated and slowly slid out of chair. When I got to the patient it looked as though patients eyes were fluttering and he was not responsive the first 5-10 seconds of me laying patient on back and elevating feet. Patiend suddenly came to after about 15 seconds total and was responsive to all questions. vitals were taken.

Symptoms were fever, splitting headache, shaking, almost passing out, constant aching across the body, hot and cold flashes (possibly due to fever). These all started taking place about 12 hours after the vaccination was administered and lasted for around 5-7 hours, possibly longer, but I managed to fall asleep at one point and felt much better upon waking up around 13 hours later.

I have had severe shortness of breath and breathlessness, chest pain, heart racing, heart fluttering, heart pounding, chest tightness, nausea, extreme fatigue, coughing, headache. I have no stamina at all, just slight exertion causes my heart to start racing and pounding, I can't climb stairs and I haven't been able to work in weeks, now I'm probably going to lose my job I fear and then will have no health insurance. I have more tests this week to try and find out if I have endocarditis, so I am racking up all kinds of bills. So far no one believes me or will help me! ALL of this started within a few days of the second Pfizer dose of COVID vaccine. Biggest mistake of my life. I feel like I'm dying and no one will help. You are literally killing me.

Fast heartbeat; Anxiety; Nervousness; Stomach pain; Problems with his eyesight; Like stomach reactions like he is going to vomit but doesn't end up vomiting; Malaise; Headache; Fever; going to vomit but doesn't end up vomiting; This is a spontaneous report from a contactable consumer or other non-healthcare professional (patient's father). A 21-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Batch/Lot number was not reported), via an unspecified route of administration, administered in left arm on 07Jun2021 (21-year-old at the time of vaccination) as dose 2, single for covid-19 immunization. Medical history included not reported. The concomitant medications were none. The patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE solution for injection, Batch/Lot number was not reported), via an unspecified route of administration on an unspecified date on 2021 as dose 1, single for covid-19 immunization. On an unspecified date on 2021, the patient presented symptoms he had never had such as, fast heartbeat, malaise, anxiety, nervousness, headache, stomach pain, problems with his eyesight and fever. The patient had to be admitted into the emergency room, had several studies done and no abnormalities were diagnosed. The reporter stated that Pfizer covid vaccine on 07Jun2021. After the vaccine the patient had a fast heartbeat, general malaise, felt nervous, headache, a stomach-ache, and a fever. The patient had to go to the emergency room, and they performed tests and analysis on him and nothing came up. This event started about a week after the vaccine and his heart rate was speeding up. The heart rate and anxiety and headaches and like stomach reactions like he is going to vomit but doesn't end up vomiting. The symptoms are different on different days. The heart rate only happened once and everything has continued to happen. This happened after the second dose of the vaccine. They sent the patient from the emergency room to another place and admitted him for 2 days. The reporter is unsure of the dates of admission. They sent the patient to a hospital where there was a cardiologist and the patient stayed there for 2 days. As Per fact sheet, what are the risks of the Pfizer BioNTech covid-19 vaccine, revised: 25Jun2021, fast heartbeat is listed as one of the signs of a possible severe allergic reaction. Most of these side effects don´t have a mean duration documented, some of the side effects have a range of appearance from 1-36 days. The reporter asked for treatment recommendations for patient. The events were serious - hospitalization. The outcome for the event's fast heartbeat, visual impairment, abdominal discomfort, pyrexia, going to vomit but doesn't end up vomiting were unknown and other events were not resolved. Information about batch/lot number has been requested.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hypotension-Mild, Systemic: Weakness-Mild, Additional Details: MODERATE/SEVERE SYNCOPE REACTION FOLLOWING DOSE 1 OF 2 PFIZER COVID-19 VACCINE. PER PATIENT AND PATIENTS MOTHER,: BELIEVE THAT ANXIETY LIKELY CONTRIBUTED TO REACTION. PATIENT WAS EVENTUALLY TAKEN VIA AMBULANCE TO ER AS PATIENT IMPROVED FROM EVENT, BUT CONTINUED FEELING UNWELL AT PHARMACY. AWAITING LAB RESULTS FROM ER VISIT, BUT PATIENT HAS RECOVERED FULLY AS OF 7PM 07-27-2021 AND INTENDS TO RECEIVE DOSE 2 OF 2 WITH ADEQUATE PREPARATION/PREVENTION OF SYNCOPE.

His heart is beating too fast/a rapid heartbeat; Chills; Fever; He has been feeling like very very different; He feels like his muscles is not, he feels like he is not himself; He cannot sleep with his heart like that; This is a spontaneous report received from a contactable consumer (Patient mother). A 21-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EW0181) via an unspecified route of administration in left arm on 07Jun2021 (at the age of 21-years-old) as dose 2, single for COVID-19 immunisation. Medical history and concomitant medications were No. The patient previously received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, Batch/lot number: EW0174), via an unspecified route of administration on 07May2021 as dose 1, single for COVID-19 immunisation. The patient did not receive any other vaccine prior to COVID-19 vaccine. The patient mother reported that the patient got his second shot like almost month and half ago but since then from an unspecified date, he has been feeling like very, very different like his heart is beating too fast and he feels like his muscles is not, he feels like he was not himself, and a week later he started with symptoms of chills, fever and a rapid heartbeat, like he can't control it. Patient mother took him to the hospital, but they found nothing, he was hospitalized for a few days from an unspecified date, but they found nothing. He was healthy before, so patient mother knew that this was related to the vaccine. Patient mother stated that he can't sleep with his heart like that, and she was very worried and was just calling to know what she can do or what's happened with him or she don't know because she already took him to the hospital, they kept him to the hospital till 8 and they couldn't find nothing, so she was like worried, and it was desperate already. The reporter seriousness was assessed as serious (hospitalization). The patient underwent lab tests that included a lot of checkup of the health, and everything says normal range on an unspecified date. When asked about treatment, the patient mother replied as, "No they didn't give nothing". The outcome of the events was unknown. Follow-up attempts are completed. No further information is expected.

At approximately 1106 client approached EMT and asked to have his vitals taken stating he felt, "a little weird". Client received a 2nd dose Pfizer COVID vaccine (LOT EW0183, exp 08/31/2021) at 1050 in the left deltoid and was preparing to leave the observation site when he stated he felt like a cold liquid was running down his left thigh and the left side of jaw was a little tense. Client denied any other symptoms such as shortness of breath, chest pain, numbness or tingling of his mouth, tongue, and throat, dizziness or feeling lightheaded. Client denied any allergies to medications/foods/environment and stated he had no pertinent medical history nor did he take medications regularly. Client reported last oral intake was a cup of coffee in the morning before vaccination with last meal being dinner on 07/27/21. EMT took the client's vitals at 1106: BP 140/90, HR 70 skin color normal for ethnicity, warm and dry, A&Ox4. Client stated the feeling of cold running down his leg and his tense jaw had resolved. Client stated he had the same feeling after his first dose Pfizer COVID vaccine on 7/7/21. A second set of vitals were taken at 1115: BP 130/90, HR 69 skins normal for ethnicity, warm and dry, A&Ox4. Client stated the vitals were a little higher than his normal but attributed it to having coffee without food and feeling a little nervous. Client stated he felt better and the symptoms had resolved. At 1120 client left the observation site on his own accord with a steady gait.

I started feeling achy around 9:00 pm and felt like I was going to get more ill. I took some Tylenol in hopes it would help but it got worse throughout the night. During the night, I couldn?t hardly sleep due to feeling really hot and achy. I felt like I had a fever but did not have a thermometer to check it. When I woke up this morning, I noticed I had a knot on my clavicle which I believe it to be a swollen supraclavicular lymph node. I was unable to go to my internship today due to feeling ill but I am feeling better now after sleep and medication.

Patient received first Pfizer dose. During the observation period, patient appeared lethrargic after fiveminutes of sitting. Nurse Practitioner staff observer attending to patient and he stated "I don't feel good". Patient became diaphorectic. He was drinking water. Patient became pale and more lethargic. Team Alert code was call overhead. BP: 61/19. HR: 41. Oxygen Saturation: 98% at room air. Emergency department physician and staff arrived at 5:22pm. Patient was placed on a gurney in Trandelenberg and moved to the Emergency Department for further evaluation.

1540 Pt complaint of feeling nauseous, states feels this was when anxious. Pt at POD with girlfriend. Squad was called for girlfriend earlier after girlfriend fell to ground. States anxious watching all that happen. Denies any other symptoms. Drank juice. 1551 BP 118/60, RR 18, OSat 99%, HR 87. States feeling much better. States ready to go home. Advised pt to seek medical care if experiencing symptoms. Pt verbalized understanding. 1553 Pt left with girlfriend at his side.

At around 10 pm. I started feeling really cold. By 10:30 I had really bad chills. I tried to lay down and warm up but by chills were extreme by the time I got in bed. They were so bad that I couldn't even hold my phone or drink water without extra effort. Then as I tried to sleep I started to feel really hot. I eventually went to sleep but woke up about two hours later feeling like I had a fever. I was hot and sweaty. During the night I woke up every two hours feeling this way, hot, and tired. Then at 6 am I woke up still feeling bad, but better. Now I had a headache that wasn't there before. I drank a lot of water and took advil. After a cold shower I started to feel a lot better.

While standing in the observation area post vaccination patient experienced syncopal episode with LOC. He states he doesn't even recall what happened. According to the patient, he was on his phone and he remembers waking up on the floor. He denies having light headedness/dizziness, or CP prior to LOC. Imaging was done upon arrival to ER, which revealed incidental finding of sella/suprasellar mass encroaching on the optic chiasm.

Within 6 mins of receiving injection, Pt experienced hot flashes, dizzyness, ears ringing. Pt blood pressure was high at time of initial observation. Pt was clammy & noticeably pale. 12 hours after injection, patient was feverish with a high fever and inability to sleep. Pt had sore arm and chest pain along with fever. Patient experienced such issues until the 16 hour mark post injection. Patient took 2 tylenol at 14 hour post injection. Patient was considering going to emergency room from fear & severity of the fevers but was able to let subside. At 22 hours post injection, patient has sore arm but otherwise is feeling normal. This was only dose 1 for pt.

Per EMS, patient with history of T2 diabetes reporting nausea and blurred vision post second vaccine. He stated he had "swelling" of his hand (vaccine arm) and "felt funny" with the first vaccine but he did not declare that on his screening form today. BP 190/110, HR 95,blood glucose 292, RR 15 PSO2 99%. He did not take his blood sugar this AM, did not take metformin, and did not eat today. He was oriented to time and place, responses were one to two syllable words. Transport at patient's request.

swollen lymph nodes around my neck; diarrhea; severe headache; chills; fever near 102; muscle aches; profuse sweating; felt freezing cold; inability to sleep; This is a spontaneous report from a contactable other hcp, the patient. A 22-year-old male patient received the second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN) via an unspecified route of administration, administered in the left arm on 25Feb2021 at 10:00 (at the age of 22-years-old) as single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The patient has no allergies to medications, food, or other products. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The patient previously received the first dose of BNT162b2 on 04Feb2021 at 10:00 (Lot Number: UNKNOWN; at age of 22-years-old) via an unspecified route of administration in the left arm for COVID-19 immunisation. The patient had not received any other vaccines within 4 weeks prior to the COVID-19 vaccine. On 25Feb2021 at 16:30, the patient experienced in order, diarrhea, severe headache, chills, fever near 102, muscle aches, profuse sweating although felt freezing cold, inability to sleep. The headache has lasted 3 days now as well as swollen lymph nodes around his neck. The patient did not receive any treatment for the events. The patient was recovering from the events, swollen lymph nodes around his neck, diarrhea, severe headache, chills, fever near 102, muscle aches, profuse sweating, felt freezing cold, and inability to sleep. No follow-up attempts are possible; information about lot/batch number cannot be obtained

* not sure directly related to vaccine but was to vaccination?? Pt did not disclose any seizure disorders and when asked if pt had had prior adverse events from vaccines it was stated that sometime he got nervous, nauseous and would vomit. immediately after injecting the vaccine the patient seemed fine, but was getting over excited having been given the vaccine (anxious) pt then went stiff and eye rolled back, I believe seizure. The father wasn't surprised and said that it has occurred before with other injections/ blood draws. pt recovered within a minute or two and was lucid and reported that he was fine. I monitored the patient for 30 minutes and recommended to the father that the patient be seen regarding the event, and that subsequent vaccinations be given at the doctors office.

Patient received dose 1 of the COVID vaccine (lot EW0150, exp 7/2021) at 1420. At 1425, patient approached EMT reporting he felt dizzy, nauseous, sweaty, and anxious. The patient reported having a similar reaction when getting previous injections due to a fear of needles and blood. PHN approached to assist. Vital signs: blood pressure 90/48, O2 97%, pulse 56, respirations 18. Patient denied allergies, medical conditions, or current medications. Patient reported not eating breakfast. At 1427, EMT offered patient water. PHN offered patient Benadryl but patient declined, also advised to contact provider and when to call 911. Patient reported he did not have a medical provider, PHN advised patient to contact 211 for assistance. At 1430, vital signs: blood pressure 102/58, pulse 74, O2 94%, respirations 18. Patient reported symptoms had resolved and he felt back to baseline. At 1445, vital signs: blood pressure 104/52, O2 94%, pulse 71, respirations 18. Patient denied anxiety at this point. At 1455, vital signs: blood pressure 98/58, pulse 74, O2 94%, respirations 16. Patient left walking with steady gait.

First dose: -moderate arm soreness/injection site pain for 3 days ~8:00 PM 4/7/2021 (day of dose 2): -mild dizziness (30 min) ~4:00 PM 4/8/2021 -?brain fog? spaced out and very tired, trouble focusing (~30 min) -tiredness continued throughout the rest of the day ~5:00 AM 4/9/2021 -vivid bad dream -slight head ache -mild injection site pain/arm soreness since 4/8/2021

Patient reports he "felt different in head" and heart rate felt fast. Reports he has been nervous to get shot. Arrived to med obs#2 at 17:40. Vitals at 17:41, HR 93, resp 16, BP 136/88, SaO2 95%. Patient did not want snack or drink. At 17:43 patient reports feeling better and heart rate does not feel as fast. Heart rate at this time wants 85 on monitor. Vitals at 17:o50, HR 87, resp 16, BP 130/85, SaO2 93%. Patient's vitals at 17: 59, HR 89, resp 16, BP 127/83, SaO2 95%. Patient left at 17:59. He left with his mother who drove him here.

Two days after COVID vaccination I began feeling nauseous, with feelings of panic attacks and impending doom., brain fog and physical weakness. It is now 8 days after my shot and the symptoms have not eased. I have never experienced anything like this feeling.

NP was alerted by bystanders that "something was happening" in an area outside of the clinic designated for patients wait the recommended 15+ minutes after COVID vaccination. PCT on duty and provider in-training were attended to patient was sliding out of chair and was markedly pale and trembling. NP was called to the scene. He was assisted to the floor and was monitored closely. He consumed Pedialyte and reported feeling better. He said that he just "started feeling tired" while waiting after the vaccine. He was accompanied by his roommate who also had a vaccine immediately after him. After the friend had been observed along with the patient for 40+ minutes, the patient left the clinic ambulatory and was driven home by his friend.

Patient noted blurry vision, tingling hands and anxiety immediately following injection at 548pm. Brought to observation by wheelchair at 600pm, sweaty with dry mouth. Examined by Dr.. Vitals WNL. Pt given and consumed 1 bottle water, began to feel better immediately. Sweating resolved and vision WNL by 610pm. Observed until 620pm. No symptoms. Released.

1330 recevied pfizer covid vaccine, lot # EW0153 right deltoid 1345 walked to tent, due to lightheadedness, anxiety, feels itchy at throat, VSS 1352 scratchy throat, rash at throat, ENT clear , HR RR,lungs clear A&P 1355 worsening symptoms , clearing throatt, sob, wheals on neck, epinephrine 1:1000 0.5ml IM given , 02 10 L via mask, 1402 throat symptoms resolved, no sob, pulse ox 100 , VSS ENT : clear, cardio rr without murmur,lungs clear A&P diphenhydramine 50mg IM left deltoid, IV hep lick Right antecubital 1413transported via ambulance sse progress note scanned into chart

Chills, aches, on and off headaches, felt feverish although did not take temperature, vivid nightmares, trouble sleeping. Began 8:00 pm on 4/12 lasted until I woke up feeling better on 4/14

Patient was sitting upright in chair looking down at phone. Had a syncopal episode, fell to floor, had seizure activity that lasted 5-10 secs. Patient awakened on his own, confused. Tried to get off of floor. Asked to stay on right side of floor. Vitals obtained. A/Ox2. Patient diaphoretic, pale, with shivering. Abrasions to right side of forehead and right posterior shoulder. BP 89/56, HR 56, O2 99% at 1257. Patient able to go from sitting to standing position to be sat in chair. Father notified of events. Father wanted patient to stay here at site for one hour. Within 5 mins of sitting in chair, patient became diaphoretic and pale again with focal stare. Per patient, "I can't hear or see you at the moment." EMS activated. BP obtained again, 78/52, HR 63, O2 at 99%. EMS arrived and assessed patient. Decided to take to Hospital. Father called and notified. Father will meet son at emergency dept.

@ 1623 Pt felt a little lightheaded and might pass out. Completed monitoring and was in hall scheduling second appointment when symptoms started. Fireman at site. @ 1627 BP 123/72, HR 59, RR 12, easy un-labored. PT states feels better. States he had symptoms before when overwhelmed. @ 1640 BP 120/74, HR 62. @1640 Ready to leave. States this happens to him when he is nervous. No longer feels anxious. No symptoms at this time. @ 1643 PT states he is asymptomatic and he can drive home. Instructed to call 911 if any symptoms with driving and to pull over. Advised to seek medical care if any symptoms. Pt verbalized understanding. Pt oriented x 4. Pt walked out by himself.

Patient was quiet and anxious prior to shot. Stated he never had a reaction to vaccination before, but has fainted before from blood pressure being taken. Shortly after vaccination he asked to lie down and then he fainted. He quickly regained consciousness and was sweating but talknig and alert. RPH administering the vaccine lowerd him to the floor with no impact. 911 was called and patient was alert and monitored for 30 minutes. He declined further treatment.

Felt fine day of vaccine, Sunday, just minor arm pain. Woke up the next morning with pretty severe fatigue and more arm pain. Around 11am I had pretty bad chills that lasted about an hour, along with minor nausea. Additionally, throughout most of the day my heart rate was usually between 90-100 bpm, even while lying down and doing nothing. Going to sleep on Monday night I woke around 3 times during the night with cold sweats. Waking up on Tuesday morning, my heart rate is still elevated, arm is still sore, but the fatigue isn't as bad. However, at around 9am on Tuesday morning I started to develop itchy hives and a rash on the back of my legs. After the first dose I only had a sore arm, no symptoms like these, and I do not have any known allergies.

Patient blacked-out / fainted 2 minutes after receiving vaccine. This lasted about 15 seconds. Pt says he lost balance and felt anxious about receiving the vaccine. Pharmacist on duty monitored his blood pressure. Blood pressure was 124/77, heartrate 75. Patient was kept for observation, seated in the waiting room, felt ok and left 20 minutes later.

Pt. reported loss of consciousness approximately 10 minutes after vaccination. Pt. alerted observation staff immediately. Pt. reported he had not eaten or had anything to drink this morning. Pt. was given pack of crackers and juice. Pt. was A&Ox3 with no confusion and reported anxiety only. Heart rate-58, P02-98%. Pt. was observed for 30 additional minutes with no additional complications.

Unusual dreams/nightmares ? at least 2 nights Swollen armpit lymph node ? 2 days Fatigue ? 2 days ?Brain fog? ? 2 days

IMMEDIATELY AFTER VACCINE, FELT ANXIOUS, SAW SPOTS, SWEATING, HANDS SHAKY, NATINGLING FINGERTIPS. NO LOSS OF CONSCIOUSNESS. ASSISTTED TO FLOOR, LEGS ELEVATED ON CHAIR. ASSISTED TO STRETCHER AND BROUGHT TO OBS IN HOSPITAL. VSS, HR LOW AT BASELINE PER PATIENT REPORT. STATES FEELS BETTER UPON ARRIVAL TO OBS. ONCE VSS ASSESSED STANDING, AND S/S RESOLVED, ASSISTED TO EXIT WITH STEADY GAIT, REFUSING WC, WITH NO ISSUES AT 1222. 1208 INITIAL BP 122/76 HR 47 RR 18 SATS 99% RA (HR LOW AT BASELINE) 1217 BP 118/74 HR 53 RR 18 SATS 99% RA 1220 STANDING BP 122/74 HR 56 RR 17 SATS 99% RA

Pt fainted after receiving his second vaccine while he was in the observation lot and reported weakness, lightheadedness, and nausea. He was evaluated by EMTs onsite and found to be significantly bradycardic and hypotensive. He was transported to ER for evaluation. Pt was anxious about the vaccine and reported not eating prior to receiving it.

Pt was standing at check out when he became dizzy. He was sat in a chair and conversing with the nurse. His eyes rolled back and his head bent forward. Suddenly his head went back and his body was rigid and began to shake violently for approximately 20 seconds. He became conscious but disoriented about 45 secs after episode. EMS intervened and patient was assessed and monitored. Patient refused transport to hospital but said he would contact his physician.

Patient received second Pfizer vaccine- no reaction to first vaccine. Patient placed on 30 minute observation for anaphylaxis to pistachio nuts. Received vaccine at 1440. At approximately 1450 patient complained of feeling bad and having a rapid heart rate; placed on pulse oximetry HR 103 (validated with radial pulse of 104/min) and O2 Sat 98%. Patient requested to void; patient stated he felt very anxious. Patient escorted to BR; became lightheaded enroute. Placed supine on sofa; legs elevated; encouraged slow deep breaths; with purse lips. VS- at 1455 = 184/80, 99%, 147 Reg/tachycardic. RR 24/min. Patient continued to feel more lightheaded with warm clammy skin. States his heart rate was worsening. VS at 1500 = 180/90, HR 145, RR 24 with unlabored breathing, o2Sat 98%. Arms tingling, lips pink, skin pale, no circumoral edema; no hives-speech controlled and unlabored. 911 called for further evaluation and clinical support. Patient agreed with plan of care. No LOC throughout event.

Client complained of "seeing black" numbness in right arm, feeling anxious, and was diaphoretic at 1711. Vital signs were taken at 1715 (Heart rate 70, Oxygen 98, blood pressure was unable to attain). Client stated that he had not eaten anything all day and only drank "a little bit of water many hours ago." Blood pressure taken at 1717 (110/70). Client escorted to zero gravity chair at 1718. Client given water and two cookies. At 1724 client stated that he is feeling better. Blood pressure taken again at 1730 (118/75). Client left unassisted with a steady gate at 1731, and was driven home by his father.

SYNCOPE, FELL TO THE GROUND, WOKE UP CONFUSED, PALE, SOB, CODE GREEN CALLED, PROVIDED GATORADE, TRANSPORTED TO HOSPITAL.

patient felt light headed and got sick. after throwing up, he felt better. patient have always had same reaction to all vaccines due to anxiety.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Medium, Systemic: Hypotension-Medium, Systemic: Nausea-Severe, Systemic: Tachycardia-Severe, Systemic: Weakness-Mild, Additional Details: Patient had vaso-vagal reaction: syncope, low blood pressure. increased pulse, profuse sweating/ flushing, nausea

Woke up in the middle of the night (approximately 13 hours after receiving vaccine) with chills and hot flashes. Was restless and unable to sleep. Has a severe headache. Is feeling exhausted while trying to eat. (Filling this out day after vaccine, side effects still exist).

Pericarditis; cardiac enzymes have continued to go up, not down; myocarditis; ST evaluation on the EKG; Increased troponins and enzymes, troponin levels were elevated; Severe Chest Pain; Chest tightness; Lightheadedness; didn't sleep at all and were uncomfortable all night and had pain; didn't sleep at all and were uncomfortable all night and had pain; feeling really crappy and they thought it was like the flu; feeling really crappy and they thought it was like the flu; Tiredness and Fatigue; Headache; This is a spontaneous report from a contactable consumer (patient's mother). A 22-year-old male patient received second dose BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation Solution for injection, Lot number EW0170 and expiration date not reported) via an unspecified route of administration, administered in Arm Left on 26Apr2021 10:00 as single dose for covid-19 immunization. Medical history included ongoing incredibly rare metabolic disorder. Concomitant medications were not reported. The patient previously took first dose of BNT162B2 on 05Apr2021, lot number: ER8735, administered in left shoulder for covid-19 immunization. The patient experienced tiredness and fatigue and headache on 26Apr2021,severe chest pain, chest tightness, lightheadedness, didn't sleep at all and were uncomfortable all night and had pain, feeling really crappy and they thought it was like the flu on 27Apr2021, pericarditis and Increased troponins and enzymes, troponin levels were elevated on 28Apr2021, cardiac enzymes have continued to go up, not down, ST evaluation on the EKG and myocarditis on an unspecified date. The reporter stated that she has identical twin sons that are 22 years old and they received their second dose on Monday morning, 26APR2021. Reporter states all 5 member of the family have gotten the Pfizer vaccine. Reporter states the twins were hospitalized on Wednesday with myocarditis/pericarditis, inflammation around the heart. Reporter states she knows there have been incidents reported. Reporter states she saw in Israel there were 62 out of unknown amount of people and some members of the military. Reporter states that two identical males with the DNA same, that had the vaccine at the same time, had the reaction at the same length of time, and it would go a long way to help understand the complication. Reporter added, they have the same lifestyle and live at the same house. The reporter stated that they received the vaccine at 10:00a.m. on 26APR2021 and then that evening they were felling pretty tired and fatigued and a little headachy, but nothing anyone worried about because they all had that same reaction. Call states Tuesday morning they were feeling really crappy and they thought it was like the flu and it would pass. Tuesday evening they said they didn't sleep at all and were uncomfortable all night and had pain. Wednesday the pain didn't go away., and the twins had ST evaluation on the EKG that they have. Reporter sated they decided to take one in and said the other twin had the same symptoms but he kept saying his wasn't as bad as his brothers because he didn't want to go to the hospital. Reporter states the doctor advised her to come back home and bring the other one in. Reporter states they had the same echo cardiogram, and their troponin levels were elevated. Caller states their cardiac enzymes have continued to go up, not down. Treatment: States they have them on Ibuprofen and Colchicine, which is the therapy for Pericarditis and they are using Toradol for breakthrough pain and severe chest pain. The seriousness of the event pericarditis was reported as (hospitalization, medically significant), cardiac enzymes have continued to go up, not down, myocarditis and ST evaluation on the EKG reported as medically significant and other events was reported as non-serious. The event pericarditis was resulted in emergency room visit. The outcome of the events pericarditis, cardiac enzymes have continued to go up, not down, severe chest pain, chest tightness, increased troponins and enzymes, troponin levels were elevated, tiredness and fatigue, was reported as not recovered feeling really crappy and they thought it was like the flu was reported as recovered on 27Apr2021, headache and lightheadedness recovered on 28Apr2021 myocarditis, ST evaluation on the EKG, didn't sleep at all and were uncomfortable all night and had pain was reported as unknown. No follow-up attempts are needed. No further information is expected.

Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Visual Changes/Disturbances-Mild, Additional Details: patient experienced syncope response to vaccine. patient fainted in exam room shortly after receiving vaccine. patient was laid on the floor and feet elevated for a short period until he was comfortable enough to return to seated position on the floor then back to chair seated position. pt regained consciousness shortly after fainting episode and was alert and oriented to time, place, person, and situation. he explained that he had some anxiety about receiving the shot that may have contributed.

pt was nervous, blood pressure was taken as a precaution. bp was 119/74. had pt sit longer x 10 minutes and relax, sip and water to cvs.

pt was nervous 15 minutes after vaccination. bp was taken as a precaution. bp was 141/77. pt was asked to sit, sip water and have a low sodium snack. at 8:56p.m. bp was 121/76, pt was feeling better and smiling. pt's morale had improved and pt was ready to leave. Advised if any other side effects, to advise employer of needing time off

Patients health slowly becoming worse due to side effects. Patient is experiencing fatigue, nausea, migraines, disorientation, chills, and a fever up to 4 days after injection.

Client received 1st COVID vaccine of Pfizer (Lot# EW0185 expiration date 05/27/2021). Client reported lightheaded. EMT responded at 1521. RN notified and responded to this event. At 1521, vital signs are blood pressure 120/69, heart rate 69, oxygen saturation 97%. Client reports history of asthma, no current use of any medication, allergies to Keflex. Client reports he ate today and felt "nervous coming today". Client was offered supplemental nutrition and fluids. Client denied nutrition, but accepted fluids. At 1528, vital signs are blood pressure 125/74, heart rate 73, oxygen saturation 97%. Client states "tight throat", no shortness of breath, headache in the occipital area, no nausea, no chest pain. RN offered 50mg of Benadryl by mouth. Client denied. RN educated Client about ED precaution and common adverse effects of COVID vaccine. At 1532, vital signs are blood pressure 125/67, heart rate 71, oxygen saturation 98%. Client reports tightness in the throat is the same. RN offered 50mg of Benadryl by mouth and paramedic services. Client accepted 50mg of Benadryl by mouth, but denied paramedic services. RN advised Client that Benadryl will result in fatigue and drowsiness. Client states his mother is driving him home. At 1534, 50mg of Benadryl was administered by mouth. At 1535, Client reports the tightness in the throat is improving, no shortness of breath, no chest pain, no nausea. At 1538, vital signs are blood pressure 123/77, heart rate 81, oxygen saturation 97%. Client reports headache is improving, no shortness of breath, tightness in the throat is improving. Client is accompanied by grandmother and reports mother is driving them home. At 1544, vital signs are blood pressure 123/77, heart rate 82, oxygen saturation 97%. Client reports headache is present but improving, tightness in throat is improving, no blurred vision, no chest pain, no nausea. RN offered paramedic services in regards to the tightness of the throat, but Client denied offer. At 1550, Client stood up with no complaints. Client left facility with grandmother and picked up by mother at 1553. Client walked out with a steady gait.

Within minutes of receiving covid-19 vaccine, I became very excessive sweaty (my shirt was wet), felt eyesight was dimming, space perception was completely off, very pale, dizziness and unable to hear when being spoken too, felt faint. Both of my arms had a very tingly feeling and felt heavy and then became completely numb and I was unable to move to either arm for approximately 45 minutes. Movement slowly came back throughout the evening and over the next week. My legs felt tingly and heavy. I continue to have periodic tingly feeling in my joints through out my body. My chest felt heavy. I felt like I was doing to die. Large red swollen area where shot was given. I have COVID 19 in Feb, 2021. Health care profession suspects the reaction may have been related to having COVID-19, second dose not recommended. Likely to have antibodies. I have not felt 100 percent since receiving vaccine.

This is a spontaneous report from a contactable consumer (patient's mother) and a contactable other healthcare professional. This consumer reported similar events for two patients (twins). This is the first of two reports. A 22-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: EW0170), via an unspecified route of administration, administered in the left arm, on 26Apr2021 10:00 (at the age of 22-year-old) as 2nd dose, single dose for COVID-19 immunization, at a pharmacy/drug store. Medical history included ongoing rare metabolic disorder. The patient's concomitant medications were not reported. Historical vaccine included the first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, lot number: ER8735) received at age 22 years, on 05Apr2021, for COVID-19 immunisation. On 26Apr2021, the patient received the second dose of BNT162B2. In the evening of the same day, 26Apr2021, the patient experienced tiredness/fatigue, and headache. In the morning of 27Apr2021, the patient was feeling really crappy and they though it was like the flu and it would pass. In the evening of 27Apr2021, the patient didn't sleep at all and was uncomfortable all night and pain. On the same day, 27Apr2021, the patient had severe chest pain, chest tightness, and lightheadedness. On 28Apr2021, the pain didn't go away, and the twins had elevated ST evaluation on the EKG (electrocardiograph). ST evaluation was done by the reporter's husband who is a retired firefighter emergency medical technician. The reporter decided to take the patient to hospital and said that the other twin had the same symptoms but kept saying his wasn't as bad as his brother's because he did not want to go to the hospital. The doctor advised the reporter to bring the other twin. The twins had the same echo cardiogram on 28Apr2021 (unknown results). On 28Apr2021, their troponin levels were elevated, and their cardiac enzymes continued to go up. On the same day, 28Apr2021, the patient had a strange weird bilateral wrist pain severe. It was reported that the twins were hospitalized on 28Apr2021 with myocarditis/pericarditis and inflammation around the heart. Treatment for myocarditis/pericarditis included ibuprofen and colchicine; and Toradol for breakthrough pain. The reporter stated that the twins are two identical males with the same DNA, had the vaccine at the same time, had the reactions at the same length of time, have the same lifestyle and live at the same house. The reporter said it would go a long way if they help her understand the complication. The patient recovered "strange weird bilateral wrist pain severe" on 29Apr2021. The outcome of the event myocarditis and pericarditis/inflammation around the heart was not recovered. Follow-up (14May2021): New information received from a contactable other healthcare professional includes: reporter details (other hcp added as a new reporter). Follow-up attempts are needed. Further information is expected.

Systemic: Confusion-Severe, Systemic: Dizziness / Lightheadness-Medium, Systemic: Exhaustion / Lethargy-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Hypotension-Medium

Felt fine throughout the day after the shot but woke up around 2:30 AM shaking uncontrollably/having muscle convulsions. Moderately painful and lasted for about 20 minutes before subsiding. After the convulsions ended I felt very feverish. Woke up feeling mostly better but felt sore from the shaking and have a considerable headache.

Tightness in chest Very irregular heartbeats Feeling of "enlarged" heart muscle Can't breathe properly Lump in throat Burning sensation in chest Severe lack of stamina Being active causes intense heart pressure to the point of fainting Swelling at injection site Symptoms started less than an hour after the first shot, still ongoing, getting worse ER visit on day 3, no clear diagnosis, no treatments. Still ongoing

Woke up from sleep shaking. Shaking turned uncontrollable/convulsions.; Woke up from sleep shaking. Shaking turned uncontrollable/convulsions.; Woke up from sleep shaking. Shaking turned uncontrollable/convulsions.; felt feverish.; Next day woke up sore and have a decent headache; This is a spontaneous report from a contactable consumer (patient himself). A 22-year-old male patient received BNT162b2 (PFIZER BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number- Ewolfe) via an unspecified route of administration in left arm on 22Jun2021 14:00 as dose number unknown single for COVID-19 immunization. Patient medical history and concomitant medications were not reported. Patient did not have any known allergies. Facility where the most recent COVID-19 vaccine was administered was reported pharmacy or drug store. Patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Patient was diagnosed with COVID-19, prior to vaccination. Patient was not been tested for COVID-19, since the vaccination. On 23Jun2021 at 02:30 patient woke up from sleep shaking. Shaking turned uncontrollable/convulsions. Lasted for about 25 minutes before it resided and felt feverish. Next day woke up sore and have a decent headache. The patient did not receive any treatment for the adverse events. The outcome of the event was recovering. Information on Lot/Batch number was available. Additional information has been requested.

Patient felt light headed and dizzy "as if the room was spinning." Patient did not disclose that he was hypoglycemic until after he was vaccinated and 10 minutes into observation. He said he had only eaten a "sausage and egg thing and a Body Armor" to eat. He said he was starting to feel shaky. He was given a water, a fruit snack, and a protein drink. He was told to go eat a good meal. He was observed for an additional 5 minutes. He then said his legs and then knees started to lock up, and said his heart started to race. Staff put the patient in a wheelchair and took him to the University health clinic. The Head Nurse took patients vitals. Patients father then showed up. Nurse said patients vitals were stable. Patient and his father left prior to EMS arriving, which was Against Medical Advise.

At 2:00am 12/19/20 I woke up to an episode of diarrhea and was left feeling nauseous. I woke up again at 4:30am with another episode of diarrhea and severe nausea which led me to throw up. I feel better after throwing up and proceeded to get rest before going to work at 6:00am. By 8:00am I had developed a severe headache, severe nausea, muscle fatigue and overall felt bad. When I got home I had become extremely nauseous and developed severe muscle fatigue and severe arthralgia and my headache had increased and became sweaty and dizzy. I slept from 9:00am to 2:00pm where the symptoms had gotten no better and the headache had gotten worse. I slept from 3:00pm to around 6:00pm with the same symptoms but managed to eat some soup and kept it down. I slept from 10pm to 12pm the next day 12/10/20. My fatigue and joint pain had somewhat dissipated but I was still experiencing severe nausea and a severe headache. By the end of 12/10/20 around 8pm my joint pain and muscle fatigue had gotten better but the nausea and headache were still there. 12/11/20 I was well enough to drive and receive a covid test. My nausea and headache did not go away until the end of day 12/11/20

same day pain at injection site. next day headache, extreme fatigue, body aches including top of my feet with tingling sensation. I felt miserable and very sick manage with Ibuprofen

About 12 hours after the vaccination, I felt the "headrush" of a fever in my face behind my nose and eyes. My body was not warm like a fever so I did not take my temperature. However, I had a lot of difficulty sleeping that night because it felt like my body and immune system was revved up. It was impossible for me to get comfortable.

After patients second covid vaccine, patient states feeling confusion, tight throat, itchiness, weakness. Patient went to the ED for monitoring. VSS stable and discharged. no pharmacologic or laboratory interventions taken.

Chills described as ?internally cold,? uncontrollable shaking, fever, body aches, light headache onset 14 hours after second vaccine dose administered. Woke up from sleeping with these symptoms. Shaking discontinued after taking vitamin C, zinc, and Tylenol.

HE SAID HE WAS HAVING STRANGE FEELINGS LIKE HE WAS HAVING TROUBLE BREATHING, BUT ADMITTED IT MAY BE ANXIETY. I HAD A FRIEND/COWORKER SIT WITH HIM WITHIN SIGHT FOR OVER 30 MIN AND CHECKED IN WITH HIM Q10MIN. HE SAID IT WAS GETTING BETTER AND THERE WERE NO OTHER SYMPTOMS DEVELOPING. HE HAD NO WHEEZING OR DIFFICULTY BREATHING AT THE TIME I RELEASE HIM. I COUNSELED WHAT TO DO IF IT WORSENS OR OTHER SYMPTOMS DEVELOP. HE WAS GOING HOME AND HIS PARENTS WERE THERE AND HIS DAD IS AN EMT.

Symptoms similar to when i had covid very bad last march. Fever feeling, headache, achy, tired, sore feet, brain fog.

Several hours of brain fog for the remainder of the day, starting about an hour after injection. Soreness at injection site starting the following day.

Shortly afte receiving the vaccine, the patient fainted. The paramedics were called and the patient attributed this to his underlying anxiety; he also stated he was anxious about getting the vaccine.

About 7-10 minutes after recieving the vaccine, my heart rate increased and I started to become extremely anxious. Was on the verge of a panic attack but was able to calm down. For the rest of the day I felt anxiety, slight chest pressure and measered a blood pressure of 153/88. The day after I went to to urgent care jsut to check if anything was wrong. My blood pressure was elevated during this visit with a mesaurement of 134/79. Was told that for the next shot to tell the vaccine staff about my reaction and to wait for 30 min instead fo 15 min.

anxious, lightheaded , lost hearing, heard ringing that was not there, cold hands, numb legs, upset stomach, difficulty breathing started about 5-10 minutes post vaccination gave patient water, gave 1 dose of epipen due to trouble breathing EMT found patient to have low blood pressure and advised to be checked up at hospital. Patient refused ambulance services but said he would go to ER to be checked out. Upon follow up several hours later patient said he felt better after getting outside and just went home

After receiving the vaccine he developed lightheadedness, and blurred vision. He also felt as if he was going to faint. He denies chest pain or shortness of breath. Denied loss of vision. He did not have a weakness. Blood pressure 106 / 68, 78, oxygen saturation 98% on room air on April 6th 2021 at 2:25 p.m. In general patient is without distress oh, but he does look anxious Heart: rate and Rhythm, as one has to, no Gallup or murmurs or rubs Lungs: CTA bilaterally neuro: 5 / 5 bilateral upper and lower extremity strength, cranial nerves 2-12 intact No gait dysfunction

About 6 hours post injection, with only a small amount of muscle soreness in the injected arm, I was suddenly very very dizzy. I ran from my living room to my bedroom and got under the sheets, I was very very cold. My whole body was twitching violently, and I had extreme muscle pain. Joints popped like knuckles cracking that I wouldn't normally be able to pop. This lasted for about 10 minutes very violently and then calmed down over another 10, and I just felt very very feverish. I felt numb all over but I was shivering a little. Moving was very hard and my whole back was very sore, with the injection arm in a little extra pain. Fell asleep until about 7:30 am, woke up still a little feverish. I have had waves of extreme dizziness and muscle aches continuing even to today a couple days later. I am also experiencing a rather persistent headache in the very center of my head, making it hard to think. I lose track of my thoughts and it feels like I can't focus, this seems to be improving gradually over time. treatment only included extra fluid intake and over the counter pain killers

Client complained of ringing in ears and feeling anxious. He felt cold and clammy to touch, was sweating and was pale. 2 RNs walked client a little ways. Client began to pass out so RNs lowered pt to ground. Pt appeared flushed. Pt was oriented and still complained of ringing in ears. About 10 minutes of client laying on floor, he was able to sit up in chair. After another 10min client stood up and stated he did not feel dizzy. Client was released to personal vehicle.

Developed tightness in throat and anxiety approximately 20 min after vaccination. Symptoms resolved in 30 min with no treatment.

patient was post pfizer covid vaccination about 5 minutes seated in chair. fainted and appeared to have a seizure of around 1 min. his mother and I were trying to revive/wake pt during this time. called 911. pt was disoriented upon awakening and vomited about 5 times. emt arrived in about 7 mins. pt left in ambulance.

Patient anxious prior to coming to vaccine site. His anxiety worsened before shot was given. He was still anxious after the shot and could not calm down. Patient taken to observation unit. Became calm in observation unit, and exam showed no light headedness or nystagmus. Was given one bottle of water to drink and was feeling fine. Ready to go. 5:27pm discharged with no symptoms.

Situation: Patient in for his 2nd dose of Covid 19 vaccine. Background: Patient had anxiety/vasovagal reaction with last dose. Assessment: The patient feels anxious today. Transported patient to a quite observation room on a gurney. He is resting in a supine position. 1400: Vital signs: 120/71, 69, 16, O2 Sat 99 % on RA. 1410: 111/66, 69, 14, O2 Sat 99 on RA. Informed Dr. Recommendation: Patient states he is feeling better. He is sitting on the side of the gurney. Per Dr., okay to discharge the patient.

Patient reports symptoms starting about 30 minutes after 2nd dose of vaccine. Started with headache, then progressed to severe chills, and fever. On 4/11 patient had severe weakness and was unable to walk or sit, altered mental status, high fever 104, nausea, diffuse, red bumpy rash on face, neck, torso. Orbital and facial swelling. Mother took to urgent care and patient was transported to ER and was admitted.

Immediately after vaccination pt "felt weird," dizzy, warm and sweaty. Pt assisted to the floor by staff. Pt states he "immediately felt better" Pt transported to med obs at 0900 via wc. Pt asymptomatic. Vitals obtained and monitored. Pt released to home by self at 0917. Escorted to exit by staff with no further issues. Initial vitals BP 166/84 HR 75 SPO2 96 SITTING BP 146/79 HR 74 SPO2 96 STANDING BP 137/81 HR 68 SPO2 97

Overnight, roughly 12+ hours after receiving the second dose of Pfizer-BioNTech COVID19 vaccine, I experienced chills, sweating, confusion, irritability, high fever of 101.8°F, inability to sleep soundly, discomfort and aches throughout my body.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Medium, Systemic: Seizure-Mild, Systemic: Tingling (specify: facial area, extemities)-Medium

Member experienced shortness of breath, migraines, dizziness, nausea and fatigue for 1 week after 2nd dose. Had to take off a week of work.

As the night went on I started to feel more and more fatigued at work(more than would be normal). I left early and felt a little nauseated by the time I got home. I went to sleep within 2 hours(around 12am). I woke up about 5 hours later with extreme fever symptoms(chills, nausea, fatigue, soreness) and a very intense headache. I contracted Covid-19 in October 2020 and this was much like how I felt when I was sick with the virus, minus the cough. Everything was mostly cleared up by the evening however.

Fever (101.2°) Persistent pounding headache Extreme chills Profuse sweating at night (left puddles of sweat in bed sheets) Inability to do normal daily functions (All of this has been going on since Friday night, it?s now Sunday afternoon)

not feeling well; he felt really terrible yesterday; Fatigue; on the left side of his throat, it hurt to swallow/throat pain; on the left side of his throat, it hurt to swallow/throat pain; last night (07Apr2021), he had a really bad headache; Sensation of pressure in ear; Sensation of pressure in eye; Dizzy on standing; at one point, he had a little bit of nausea with the dizziness; he was really weak; he didn't eat yesterday because he had no appetite; Chills/Teeth chattering; Shaking; Hot feeling generalized; Sweating; Feeling hot and cold; on Tuesday night (06Apr2021) he didn't sleep well, and he could barely sleep last night (07Apr2021); his head felt heavy on Tuesday night (06Apr2021), and his head felt super heavy last night (07Apr2021); This is a spontaneous report from a contactable consumer (patient) via a Pfizer-sponsored Program COVAX US Support. A 23-year-old male patient received the second dose of bnt162b2 via an unspecified route of administration, administered in Left arm on 27Mar2021 (between 11:55AM and 12:00PM) (Lot Number: ER8732; Expiration Date: Jul2021) as single dose for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient previously received the first dose of bnt162b2 via Intramuscular, at the age of 23-year-old, administered in right arm on 06Mar2021 (Lot Number: EN6206, Expiry: 30Jun2021) as single dose for covid-19 immunisation. He felt really terrible yesterday (07Apr2021). On Tuesday night (06Apr2021) he didn't sleep well, and he could barely sleep last night (07Apr2021). His head felt heavy on Tuesday night (06Apr2021), and his head felt super heavy last night (07Apr2021). On 07Apr2021, the patient experienced fatigue, on the left side of his throat, it hurt to swallow/throat pain, really bad headache, sensation of pressure in ear, sensation of pressure in eye, dizzy on standing, a little bit of nausea with the dizziness, really weak, he didn't eat yesterday because he had no appetite, chills/teeth chattering, shaking, hot feeling generalized, sweating, feeling hot and cold. The patient experienced not feeling well on an unspecified date. Patient started developing symptoms that were very bad, he thought he had COVID. Patient had a PCR test that was negative. Patient would like to know if a delayed response after second dose is normal. Reported he had received his second COVID-19 Vaccine dose about 2 weeks ago (27Mar2021). He said he felt really terrible yesterday. He said he felt so bad that he thought he had the COVID-19 Virus, and went to get tested. He clarified he had a real time COVID-19 Virus PCR test yesterday (07Apr2021), and received a negative result today (08Apr2021), less than 24 hours after having the test performed. He said it could be something else that was making him feel terrible. He said he had a (telehealth) appointment with a doctor tomorrow (09Apr2021). Caller asked if Pfizer had any data with the second COVID-19 Vaccine for people that had a really delayed immune response with their immune system. He said he had no symptoms after his second COVID-19 Vaccine, and was wondering if what he was experiencing now was a delayed immune response. Reported last night was the worst for his symptoms, saying it was awful. He said he felt better this morning. He clarified that on Tuesday night (06Apr2021) he didn't sleep well. He said his head felt heavy, but when he woke up, he did not feel too bad. He said he had fatigue, and on the left side of his throat, it hurt to swallow. He said last night (07Apr2021), he had a really bad headache, and his head felt super heavy. He said he had ear and eye pressure. He said he got dizzy on standing, and at one point, had a little bit of nausea with the dizziness. He said he wasn't sure if the nausea was caused by the dizziness. He said he was really weak, and didn't eat yesterday because he had no appetite. He said he took his temperature at around 8:00PM-9:00PM last night, and had no fever. He said he still had his sense of taste and smell. He said he had chills, he was shaking, and his teeth were chattering. He said he was also hot and sweating at times, like he was alternating between hot and cold. He said he tried to drink water yesterday, and would take a few sips of water when he turned over in bed. He said he could barely sleep. Treatment: Reported he took Ibuprofen 200mg tablets, off and on, to treat his headache because his headache was preventing him from sleeping. He said he would take 2 Ibuprofen 200mg tablets at a time. He said he took his first Ibuprofen dose in the middle of the night on Tuesday, and then took 2 more doses of 2 Ibuprofen 200mg tablets last night. He said he did not have the Ibuprofen 200mg tablet NDC, Lot, and Expiration Date because he had taken Ibuprofen from a different Ibuprofen 200mg bottle and put it in the Ibuprofen 200mg he was taking from. Reported he felt he had gained strength back today (08Apr2021) because he had showered this morning, and didn't fall over. He said he was so weak yesterday, even trying to text for his work was bad. He said his headache was a little worse today, and his left-sided throat pain was persisting, but everything else had subsided for now. Caller said he was wondering if what he had experienced was a delayed immune response, or a false negative COVID-19 Virus test, or something else, like Mono. Patient was not feeling well. Did test negative covid. The outcome of the event headache, Swallowing painful and Throat pain was not recovered, other events was recovering. No follow-up attempts are needed. No further information is expected.

Confusion, tachycardia, dizziness, throat felt like it was closing, initial 20 mins. For two weeks after recurring panic attacks and anxiety over nothing. Persistent brain fog

His brain just felt like he lost nerves; weird neurological effect; makes him almost feel light headed / Like the top of his head feels more "light"/he do get lightheaded; top of his head feels really empty; This is a spontaneous report from a contactable consumer (patient). A 23-year-old male patient received second dose bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), via an unspecified route of administration, administered in the right arm on 07Apr2021 18:15 (Batch/Lot Number: EWO153) as single dose for covid-19 immunisation. Medical history included scoliosis. Patient previously received the first dose of BNT162B2 (lot number: ENG205), on 17Mar2021,17:30, in the left arm, fore COVID-19 immunization and experienced some lower back pain and mild chills. Concomitant medication included ibuprofen taken for an unspecified indication, start and stop date were not reported. On 09Apr2021 15:00, the patient experienced that the top of his head feels really empty. He was not light headed per se. Well, maybe the top of his head feels a bit lightheaded. His brain just felt like he lost nerves and it makes him almost feel light headed when he try to lie down and fall asleep. Like the top of his head feels more "light". He was not sure if this was some weird neurological effect. Also sometimes if he just stay still and space out on purpose, he do get lightheaded. The outcome of events was reported as "not recovered". Patient did not receive any treatment for the events. No follow-up attempts are possible. No further information is expected. Information on the batch/lot number has been obtained.

So on the same day, starting at 11PM, my body started to ache and my bones started hurting a lot. I then became feverish and felt cold. As I tried to sleep, I had difficulty sleeping. The next day, I awoke with a splitting headache and my body aching worse than before including my neck which was impossible for me to look around. Still felt a little cold. Head was hurting a lot. Slept better the second night. Awoke on Sunday with mainly head hurting and body aching a little less.

Regular shoulder & arm soreness for the arm of injection at night of vaccination (had the same symptom for the first shot, was no big deal). Shoulder upper body (muscle) soreness started around the second day, and I felt easily tired because of it. The real shoulder pain (both shoulders) came on 5/3 early morning, and I was not able to sleep because of it.

Patient got his first COVID shot on April 3rd, had a HA for a few days after the shot. Then fine. Had his second shot on April 25th, had a HA for a few days gradually improving. Then on the 28th went for a run and after 3 miles had bad HA so had to stop. Went home and slept. Since then has tried to work out and feels fatigued w/ worse HA. No Hx HA's. Still has a HA, pain on top of head, feels hungover, denies vision changes or photophobia, no nausea. Pain not too bad but cannot work or do anything physical. No other areas of discomfort. Pfizer. Did not report to Vaers.

7 days and after Vaccination #2 Pfizer previously healthy patient had sudden onset of severe vertigo that woke him up from his sleep at 2 am. No associated fever, chills, diarrhea, cough. Associated with nausea and emesis x1 and inability walk. This was not associated with head movement. This lasted 2 -3 hours and he went to sleep and woke with minimal residual. No other associated sick contacts, no Past Medical History, no medications, no allergies, no surgeries,. He hydrates well and is in excellent shape. He cross-trains with multiple circuit conditioning.

Vertigo when driving and laying down, Brain fog and lightheadedness, Right ear discomfort, Right ear tinnitus, Fluid in right ear, Headaches, Fatigue. Symptoms began 2 weeks after first shot and have remained, continuing through second shot.

I had a incident around 12pm on 05/10/2021. I had a case of head ache, excess sweating, shakiness in my right arm, slurred speech and confusion for about 5 to 10 minutes.

Patient had what was suspected as a syncopal episode after receiving their vaccine. The patient syncopized in our observation area at 0835 after receiving the vaccine at 0830. The patient was witnessed sliding off their chair and onto the floor while they were reading the fact sheet on pfizer. It was suspected that the patient had anxiety while reading and had a vaso-vagal reaction, causing the subsequent syncopal episode. Patient vital signs post-syncope: BP 130/75, heart rate 73, 97% on room air. Patient was alert and oriented x4. The patient was sat on a couch and had what was initially presented as another syncopal episode at 0847. Upon assessing the patient, I suspected that the patient had an atonic generalized seizure. The patient had slight decorticate posturing, with both arms abnormally suppinated towards his midline. The patient was slow to arouse. A 3 lead EKG was attached to the patient, with lead II showing normal sinus rhythm, no ectopy. Emergency medical services was called and arrived on-scene at 0904. The patient was assessed by Paramedics and decided to AMA with them. The patient stated that they will see their doctor. The patient was advised to not operate any motor vehicles before being evaluated by their doctor.

After the second dose my injection site was painful and around 8 pm I started getting a headache then came the chills which I then went to bed my sleep was awful I woke up every 5 minutes with a terrible headache. At about 4:40 am I ended up vomiting. Since then I have just been lethargic and the headache is consistent

1415Called to car. Relative reports pt is weak & dizzy & head lowered to chest. Remained oriented X4, follows commands. Pt and relative state he was nervous before vaccine. 1421- BP:104/61 HR:60 RR:16 Sats:99% pale, cool, clammy diaphoretic skin. Nauseated after 4 sips of water. Denied CP, SOB, Difficulty breathing. Airway patent. 1425- BP:105/71 HR:70 RR: 16 Sats:99% OX4. 1430-sitting up in car. BP:120/78 HR: 66. States "feels better" Denies need for call to EMS. Denies dizziness with standing. 1432- BP: 140/75 HR:64 RR: 18. Assisted to passenger seat. Relative to drive home. Educated pt and family on s/s of allergic reaction, return of symptoms, SOB/CP to call 911 or go to ER. All verbalized understanding.

Client reported feeling nauseous at first and then feeling a rush to huis head and shoulders. He felt cold, clammy, sweaty Client reported he had not ate anything for breakfast. Denies any health problems, daily needs or allergies. Client reported these symptoms happened 1 year ago with an antibiotic injection and did not know the name of antibiotics. Symptoms lasted 5 minutes he stayed total 3 minutes and felt better before he left ,

Pt in waiting area and started seeing black spots and hearing became muffled. Pt had syncopal episode for less 3 sec. on floor. Pt was placed on left side v/s obtained with b/p 110/88 HR 82. A/Ox3. Pt admitted to having anxiety and stated "it was my first time having this to happen, but i do have anxiety." Pt was there with extra time placed on to his wait time. Refused EMS. Mother came in to sit with pt. No acute distress noted. A/Ox3.

Course of the Hospitalization: 05/18/2021 Today the patient was seen examined. Patient denies any chest pain, shortness breath, nausea, vomiting or diarrhea. Patient is in good spirits such time. Patient has any changes to vision/hearing/taste/smell. Patient will follow-up with his cardiologist from the hospital. Patient was told if he any discomfort in his chest, changes to vision/hearing/taste/smell go immediately to emergency room for further workup and evaluation as necessary. Patient was discharged on Pepcid 20 milligrams to be taken twice daily for next 14 days. Side effects, risks, benefits of medications discussed great length. I asked the patient to discuss with the pharmacist any questions comments or concerns he may have both this medication as well. Admitting ER Note: 23-year-old male presenting to emergency department for evaluation of chest pain. Reports pain started 2 nights ago. He received his 2nd COVID vaccine early Saturday morning, by Saturday night started having symptoms including chest pain. Other symptoms resolved the chest pain has persisted, and waxing and waning. Was seen at urgent care and found of ST elevations on EKG and sent to emergency department. While here in the ED again found to have ST elevations in anterior leads with reciprocal changes inferiorly. Troponin elevated to 11. Bedside echocardiogram performed by myself and cardiologist negative for tamponade or significant hypokinesis. Patient will require admission for further management and evaluation.

Patient became anxious and diaphoretic. Prior to covid-19 vaccination patient stated fear of needles. Patient sat on stretcher. Patient lay on stretcher. Vital signs were taken at 12:37 p.m. B/P was 111/48, HR was 61, and RR were 20. Patient was responding during the vital signs being taken and answering questions about how he felt and contacting his Mom at store. He also noted he hadn't ate much in the A.M. Wet cloths were put on Patients head. His vital signs were retaken of B/P of 124/66 and HR of 80 at 12:43. The head of the stretcher was lifted and patient ate some peanut butter and crackers and drank some water. Later he dangled on side of the bed before a standing position. Patient stated he was feeling fine now. No medication was given.

I got my shot on a Friday afternoon. The following Tuesday afternoon, I was out running sprints with a friend. After a couple, I felt super winded, like I was gonna pass out. This was concerning since I run at least 30 miles a week. Early the next morning, I woke up with my heart racing and shortness of breath. This persisted for a couple of hours. I woke up with a stiff chest, pain and aches around my body, and struggling to breathe. I went to urgent care and they did an EKG on me that came out abnormal. They referred me to a cardiologist where I got an appointment the next day. The cardiologist runs another ekg this time it?s worse. She sends me straight to the ER. They run a bunch of tests but nothing is conclusive. I?m released the next evening. The following Monday I had a checkup with my cardiologist and she referred me to someone she knows at a HCF. My appointment is not until the end of June

Passed out in observation room approx. 5 minutes after the dose, had a mild seizure and tore up my left ear on the carpet. History of passing out in hospital settings, possible vasovagal syncope, no history of seizures. recovered on hallway bed with granola bars and sprite. Approx. 9:30 pm temperature jumped within a couple of hours to around 101, after going to bed was half-awake-half-asleep until 7 am with vivid dreams/internal dialog.

Was doing fine for about 20 minutes while in observation. Then fell out of his chair, was confused, body went stiff, and didn't feel well.

Hallucinations; Urge to self harm; Severe mood swings; Depressive state; This is a spontaneous report from a contactable consumer. A 23-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 2 via an unspecified route of administration, administered in Arm Left on 15May2021 08:30 (Batch/Lot Number: EW0185), at the age of 23-years-old as 2nd dose, single for COVID-19 immunization. Historical vaccine included first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 24Apr2021 08:30 (lot number: EW0151) at the age of 23-years-old in the left arm. Medical history included Chronic ear pain and allergies with Gorgonzola cheese. The patient's concomitant medications were not reported. Most recent COVID-19 vaccine was administered at the Pharmacy or Drug Store. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. No other medications were received within 2 weeks of vaccination. The patient experienced severe mood swings and depressive state, urge to self-harm (medically significant) and hallucinations (medically significant) on 15May2021 11:45. No treatment was given. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient has not been tested for COVID-19. The outcome of the events was not recovered. Information on Lot/Batch number was available. Additional information has been requested.

Patient received the first dose of the Pfizer Vaccine. About 5 to 10 minutes after the vaccine, patient complained of dizziness and some shortness of breath. I did not see any swelling or noticeable difficulty in breathing. Patient also complained of numbness and tingling on this hands. Patient was told to be very relaxed on the chair in order to recover. Patient then complained of losing sensation on his hands. Also, patient said that he was going to pass out at any time. Girlfriend was present with patient. I told patient that I can call 911 immediately if they like. We called 911 and within 5 minutes EMT ARRIVED. EMT arrived and ran some tests on patient. They said that patient 's respiration was getting back to normal capacity and confirmed that patient was having an anxiety attack. EMT asked if he has been taking medication for his anxiety. Patient said that he isn't on any medication for his anxiety. Patient was then taken to the ER.

After I got vaccinate on the second dose in the morning, I feel cold in the evening and heavy headache. This happens only for a day. But from that day until now I still get a weird feeling in my left chest. I feel like my heart is twitching sometimes. Sometimes I felt that my heart was pounding. Sometimes it feels like it's going to hurt my heart. It happened continuously about 5-6 times a day. Sometimes I was paranoid about it.

Still a bit nervous; Still little dizzy; Feel its almost kind of like being high or drunk like you just took a 'sip' or something, started to feel something; Jaw was kind of a little bit stiff; Sleepiness is a side effect; This is a spontaneous report from a contactable consumer (patient) submitted by India call centre. A- male patient received bnt162b2 (PFIZER- BIONTECH COVID- 19 VACCINE, Solution for injection, Batch/Lot Number: EW0186), via an unspecified route of administration on 23May2021 as unknown, single dose for covid-19 immunisation. Medical history included asthma. The patient's concomitant medication was not reported. On an unspecified date of May2021, the patient experienced still a bit nervous, still little dizzy at first, it gone away and feel it's almost kind of like being high or drunk like you just took a sip or something, started to feel something, jaw was kind of a little bit stiff and sleepiness is a side effect. Patient just needed a moment to calm down. patient is fine at the time of report. When confirmed if the consumer wanted to report this, patient stated, so sleepiness is a side effect, right, he is fine at the time of report, he dont have anything to report. When probed if the consumer has any medical query, patient stated, Well, he does have one, he was feeling bit dizzy but at the time of report he felt its almost kind of like being high or drunk like you just took a sip or something, started to feel something. No treatment was taken by the patient for the events. The outcome of the events was recovered on an unspecified date of May2021. Information on Lot/Batch number was available. Additional information has been requested

My first dose of the pfizer vaccine was relatively asymptomatic. Received at local hospital. Sore arm that lasted a few hours, nothing too concerning. This adverse event describes my second dose however, received Jan 23, 2020, approximately 3 weeks after the first. Again, this was received at local hospital. The next day, I felt the expected side effects of terrible chills, whole-body myalgia, and a slight fever. Again, I was not too worried as this was expected. I could not sleep that night, but otherwise, I felt significantly better in the morning. Unfortunately, on Jan 25, 2 days after the second dose, I began to feel a strange tingling sensation in my forearms, and a pain in my lower back. This paresthesia felt as if the insides of my arms were vibrating, and rather than a "pins and needles" sensation, I felt electric shocks through my forearms and extremely discomforting tingles. I could not bend forward without terrible shocks through my arms, and my back pain can only be described as aching. I immediately scheduled an appointment with my doctor for Monday afternoon, That entire Sunday, it felt as if the tingling sensation, rated at 7/10 discomfort, grew to 10/10. I physically was wincing and turning, unable to find any position where my arms were not experiencing electric vibrations. My back pain, which was tender to touch, and if I pressed hard enough on it or laid on my back, caused the same electric sensation not just in the forearms but the entirety of my upper torso and my arm. Taking deep breaths was painful, as it elicited the same discomforting paresthesia. At the time, I was one of the first groups taking the pfizer shots, and it was still unclear if taking NSAIDs was a good idea to alleviate pains and the suppress the immune response. I agonized that entire Sunday and through Monday morning, the shocking expanding from just the forearms to the shoulders around the deltoid, and the back pain soon covered my entire upper torso. For whatever reason, waist-down I was completely fine. Even bending forward only elicited the pain upwards, nothing ever went down my legs. I had slight neck stiffness, a throbbing headache, intense back aches, bilateral upper extremity paresthesia, and pain on deep inspiration at the height of my pain on Monday morning. By this point, the pain had kept me awake for almost 30 hours. When I finally could see my doctor via telehealth appointment, he prescribed me 800 mg ibuprofen to be taken every 6-8 hours I believe. After taking the ibuprofen, the pain lessened significantly, going from 10/10 to 2/10. I was finally able to go to sleep sitting up straight on a sofa chair. The paresthesia was gone, the pain on deep inspiration was gone, but the tenderness and dull ache in the lower back seemed to stay even on the ibuprofen. I noticed that if I laid down on my back to try and sleep, even with the medicine in full effect, the electric shooting and paresthesia would immediately return. If I quickly removed pressure from that area, it went away. The ibuprofen's effect lasted only about 5 hours. I would take another as it slowly crawled back up to 4/10 pain or if the paresthesia was returning. Over the course of an entire week, I constantly needed to be on ibuprofen. By Friday, so almost 6 days after the shot, the paresthesia and back pain could be completely suppressed by the ibuprofen and I was able to lay on my back with no problems. Without medicine, I was sitting at a dull 3-10 back pain, but the paresthesia was gone. The back pain finally vanished on Sunday, 8 days after the shot, and I no longer needed ibuprofen. No fevers, chills, nausea, vomiting, diarrhea, radiation of electrical pain down the leg, vision change, or loss of bowel/urinary control throughout the course of these symptoms. My experience reported to my primary care doctor, via our health messages. I did not return any contact to hospital or my vaccination site.

fell out of his chair; confused; did not feel well; This is a spontaneous report from a contactable other health professional (patient). A 23-year-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Lot Number: EW00185) intramuscularly administered into right arm on 20May2021 (at the age of 23-year-old) as 1st dose, single for COVID-19 immunisation. The patient's medical history and concomitant medications were not reported. On 20May2021, patient was in observation for 20 minutes then he fell out of his chair, he was confused and did not feel well. The events resulted in emergency room visit. Outcome of events was unknown. Information on Lot/Batch number was available. Additional information has been requested.; Sender's Comments: The contributory role of the suspect product to reported fall cannot be excluded.

Sudden migraine leading to fatigue and all-over muscle soreness which became excruciating and combined with rapid felt temperature fluctuations despite no fever being recorded. Symptoms seemed to die out in a few hours, then came back full force through that night, keeping me awake and in agony for several hours

Feeling weird at the work; Feeling a little sick; I function properly but I have like Covid symptoms; Have some COVID symptoms; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 23-years-old male patient received first dose of bnt162b2 (BNT162B2, solution for injection, Batch/Lot Number: EW0158; Expiration Date: 30Jul2021), dose 1 via an unspecified route of administration, administered in Arm Right on 31May2021 as 1ST DOSE, SINGLE DOSE for covid-19 immunisation (23 years old at the time of vaccination). Patient medical history and concomitant medications were reported. When probed for the concern, consumer stated that he started feeling weird at the work the other day because of 1st dose of the Pfizer vaccine and he have gotten that on Monday (31May2021) and he started feeling a little weird, first 3 days he knew was normal. Now it was already 5 days in, and he was still feeling a little sick, had a little bit of COVID symptoms but he did not know if he should be going in to work or not if he does had symptoms. Received follow-up on 05Jun2021, 07Jun2021, Consumer was informed about Pfizer Medical Information Department. He spoke with five persons, but call was not given to medical department. He was asked for dates for already five days since he got vaccinated it was unspecified. Patient did not receive any other prior vaccination. The clinical outcome of events was unknown.

He developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid; He developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid; He couldnt sleep because of the pain; Also reports stomach discomfort; Experienced fatigue; Feeling under the weather and restless; Restlessness; This is a spontaneous report from a contactable consumer (patient's mother).Follow-up (06Jun2021) and Follow up (07Jun2021) received from previously reported consumer were processed together along with initial information. A 23-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Lot Number: EW0187; Expiration Date: 31Aug2021), via an unspecified route of administration on 03Jun2021 (at an age of 23-year-old during vaccination) as a 2nd dose, single dose for COVID-19 immunisation. The patient's medical history included multiple allergic reactions (including drug allergies) after having his wisdom teeth out and had chest muscle pain. The patient's concomitant medications were not reported. The reporter stated that, the patient was not related to any study or programme. The patient previously received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Formulation: Solution for injection, Batch/Lot Number: Not reported), via an unspecified route of administration on unspecified date as a 1st dose, single dose for COVID-19 immunisation. On 03Jun2021, the reporter stated that the patient experienced fatigue, feeling under the weather and restlessness. On Sunday early morning, the patient developed achiness on both sides under his arm pit extending primarily to pectoral muscles and deltoid, he could not sleep because of the pain and stomach discomfort. The reporter stated that as of last evening that it was kind of the same. No investigational assessment was reported. The reported wanted to know if her son chest muscles pain was normal or not. The reporter worried if her son needed medical care right away. The reporter concerned about lot number whether there was any issue involved with lot number. The reported stated that, the pharmacist did not follow proper procedure while with the administration of the vaccine however she was unable to identify a specific concern. The reporter was informed to provide information about side effects and to refer to doctor about side effects if there continue. The outcome of the events was unknown. Information on Lot/Batch number was available. Additional information has been requested.

I am healthy 23 year old male. I have never suffered from any sort of illness or conditions. After massive push by the goverment and incentivization to take the New Covid-19 Vaccines deemed safe , I went ahead and received the Pfizer shot on 05/24/2021. A day after I felt headache and dizziness. This stopped on the third day. Later I would have episodes of blurred vision. That stopped. But what has really affected me and continues to affect me , is that a week after I have developed major difficulty breathing. I never , ever not even once in my life have suffered from breathing problems. It all started on an afternoon a week after the shot randomly with really fast heart palpitations and after those palpitations stopped I was choking, I could not breathe at all. After this , I am having trouble breathing normally or getting enough air in along with tightness in the chest area. For instance, I struggle with two breaths and then the third I will likely get more air in. I have felt incredible tightness in my chest. There has been nights where I cannot sleep because I am unable to breathe , and feel like I am choking. So , I need to get up and walk around the house to catch my breath. I am having shortness of breath and my breathing is not like it used to be. I do not have any fever or any other symptoms , the persisting problem is the tightness and difficulty breathing. I already went to the Pulmonary doctor a couple days ago and underwent testing that are pending. I do not understand why this happened to me , I am not sure if it is a coincidence or if there is a relation between me having taken that Pfizer shot . But prior to taking that vaccine I never once had trouble with my breathing and never felt tightness around my chest. This is new to me and it scares me to think this might stay with me forever, whatever it is. I pray it goes away. I am still having trouble . and the fact that in the past I never thought about my breathing because it was normal, and now it is a constant issue throughout the day, moments when I can get air and others when it is very difficult. I am reporting this to leave a record of this incident because prior to me taking this vaccine , I was in fact a fully healthy person free of any sort of health issues.

A little over two days after my first COVID vaccine, I started experiencing racing thoughts and feelings of heightened anxiety, franticness, panic, agitation and overwhelm. The severity of these symptoms would fluctuate, but they have been present most of the time since then. They made it very difficult to complete my semester at school. A week prior my long-term girlfriend effectively broke up with me, and I had been taking two herbs, Wort and rhodiola, the former for a month and the latter for two weeks at the beginning of symptoms, which I later found out can significantly influence brain chemistry and even induce mania in some individuals. Thus, it seems likely that a combination of these and other factors could have caused the symptoms I am now experiencing, and this is the opinion of the psychiatrist I am currently seeing (listed under doctor to contact). However, given the close timing of my vaccination and subsequent onset of symptoms, I have been worried about whether it could have played a role and wanted to report it. In the past couple weeks the psychiatrist has prescribed me with hydroxizine to help me sleep and GABA to help calm my mind, and they have helped a bit, but I still do not feel like myself.

A few days after my first dose my left arm went completely numb and there is a shooting pain all the way down to my fingertips and up my neck. The pain is so bad it makes me nauseous. This has been going on for a few weeks now and I havent been told anything that will help me get better

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Hypotension-Mild

Fever; his confusion started at 4:00AM today; he had bad diarrhea from 4:00AM-5:30AM.; his dry eyes started around 12:00PM yesterday; his stomach started to hurt between 8:30-9:00PM last night; He had muscle spams last night; not feeling well; his first Pfizer BioNTech COVID-19 Vaccine shot was in his left deltoid, and his left upper arm hurt; he couldn't sleep last night; about 4:00PM yesterday (4-7 hours after getting his Pfizer BioNTech COVID-19 Vaccine), he was feeling weird, and it had gotten worse; his heart beat was fast and his heart rate was up to 120bpm last night; his blood pressure was 160/98; This is a spontaneous report from a contactable consumer or other non hcp (patient). A 23-year-old male patient received first dose of bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection), via an unspecified route of administration, administered in Deltoid Left on 16Mar2021 09:30 (Batch/Lot Number: EU6204; Expiration Date: 30Jun2021) as dose 1, single (age at vaccination 23-year-old) for covid-19 immunisation. Medical history included ongoing attention deficit hyperactivity disorder Verbatim: ADHD , ongoing Blood pressure high ,anxiety, insomnia, muscle spasms, Panic attacks ,DUI accident , septorhinoplasty from 2020 to an unknown date. Reported he was prescribed Lyrica due to a DUI accident , rhinoplasty from 2020 to an unknown date He said he had a septorhinoplasty a year ago. Concomitant medications included gabapentin, carisoprodol ,bisoprolol fumarate (ZEBETA), amfetamine aspartate, amfetamine sulfate, dexamfetamine saccharate, dexamfetamine sulfate (ADDERALL) taken for an unspecified indication, start and stop date were not reported. The patient previously took trintellix for antidepressant therapy and experienced drug ineffective, trintellix for antidepressant therapy and experienced constipation, trintellix for antidepressant therapy and experienced nausea, clonazepam and experienced heart rate decreased. On16Mar2021, the patient experienced about 4:00pm yesterday (4-7 hours after getting his pfizer biontech covid-19 vaccine), he was feeling weird, and it had gotten worse, his heart beat was fast and his heart rate was up to 120bpm last night, his blood pressure was 160/98, his blood pressure was 160/98, his first Pfizer BioNTech COVID-19 Vaccine shot was in his left deltoid, and his left upper arm hurt, he couldn't sleep last night, his dry eyes started around 12:00PM yesterday, his stomach started to hurt between 8:30-9:00PM last night, Fever, He had muscle spasm last night and on 17Mar2021, patient experienced that his confusion started at 4:00AM today, he had bad diarrhea from 4:00AM-5:30AM. It was reported, He was diagnosed with ADHD between 2012-2014. He said he took a generic Adderall 20mg Immediate Release tablet, twice a day (20mg in the morning & 20mg at 2:00PM). He said he had been on Adderall for about 8 years. His muscles spasms were from a prior accident he had. He said he was hit by a car going 48mph while he was riding his bicycle. He got the Pfizer BioNTech COVID-19 Vaccine shot yesterday (16Mar2021). He said he was not feeling well. He said about 4:00PM yesterday (4-7 hours after getting his Pfizer BioNTech COVID-19 Vaccine), he was feeling weird, and it had gotten worse. He said his heart beat was fast, he had high blood pressure, his stomach hurt, he had muscle spasms, he could not sleep, he had diarrhea, a fever, dry eyes, and left upper arm pain. He said he was normally healthy, and did not have the COVID-19 Virus before. He said he wanted to report his symptoms to Pfizer. He had ADHD and high blood pressure. He clarified he took his blood pressure last night and his blood pressure was 160/98. He said he took his blood pressure medication, Zebeta, and his anxiety medicine, Clonazepam, at the same time last night. He said he takes Zebeta (Bisoprolol Fumarate) for his high blood pressure. He said he takes 1/2 of a Zebeta 5mg tablet (2.5mg) once a day, as needed, a few times a week when his blood pressure was high. He said the Zebeta was not like Propranolol. He said his blood pressure was fine. He said the Zebeta also lowered his heart rate. He clarified he takes Zebeta and all his other medications at the same time, and that his heart rate may have been lowered by the Clonazepam he took. He said he takes a Clonazepam 0.5mg tablet twice a day. He said he normally takes 1mg Clonazepam, but can take a Clonazepam 0.5mg tablet, as needed. He stated he had been taking the Clonazepam for as long as Adderall. He said he started taking Adderall first. He clarified he started taking Clonazepam for bad nightmares. He said he had tried all other types of medications for his nightmares. He said he started the Clonazepam in 2014 for his bad nightmares, and now the Clonazepam was prescribed for anxiety and panic attacks. He said he sees a therapist once a week. He said he checked his "pulse ox" last night, and his pulse ox was good. He said his heart rate was up to 120bpm last night. He said he kept a watch on his heart rate, and his heart rate was around 100-110, which was higher than normal. He said his heart rate was still elevated while he was laying down, stating his current heart rate was 113bpm. He said when he exercised his heart rate normally goes up to between 140-160bpm. Clarified he woke up at 4:00AM this morning (17Mar2021) with diarrhea. He said he had bad diarrhea from 4:00AM-5:30AM. He said he ate something for breakfast and took a fiber gummie. He said the fiber gummie would help harden his stool, and he did not want to take anything to cause constipation. He said he had not had diarrhea since about 5:30AM. He provided the fiber gummie product information as: Fiber Well Fit Supplement 5grams fiber. He had a fever. He stated he was going to check his temperature while he was speaking with the Pfizer agent, but did not provide his body temperature. He clarified a weird symptom he experienced after getting the Pfizer BioNTech COVID-19 Vaccine was dry eyes. He said his dry eyes started around 12:00PM yesterday (16Mar2021). He said he bought Liquid Tears eye drops that were either (Company name) brand or (Company name) brand. He said the Liquid Tears was a saline eye drop with no medication in it. His stomach started to hurt between 8:30-9:00PM last night. He said he had a normal dinner and had taken his daily medications at 6:00PM yesterday. He was confused, too. He clarified his confusion started at 4:00AM today (17Mar2021). He said he did not charge his phone overnight, which was not normal, and a lot of other weird things. He said he knows it was not his medications causing his confusion because he had not started any new medications. He said he had been taking the same medications for quite some time. He got everyone (his mother and father) signed up for the COVID-19 Vaccine, and he was the only one experiencing issues. He was prescribed Lyrica due to a DUI accident, saying he knows Lyrica was a Pfizer medication. He clarified he was on Gabapentin first. He said he was on the maximum dose of Gabapentin (either 2000mg or 6000mg) in 2016. He said he was then was put on Lyrica. He said the Lyrica did not work as well as the Gabapentin. He clarified the Lyrica 75mg was stronger than the Gabapentin, and he didnot like how tired he was while taking the Lyrica 75mg. He said he took the Lyrica 75mg for a month or 2, and then was put back on Gabapentin. He said he was no longer taking either the Gabapentin or Lyrica. He said it was 6-7 years ago that he had taken Lyrica 75mg. He said he knew beforehand what the COVID-19 Vaccine side effects were, like chills, but diarrhea was not on the list of COVID-19 Vaccine side effects. He was not immunosuppressed. He said he had a septorhinoplasty a year ago. He could not sleep last night. He said he had diarrhea. He said his arm (left) hurts, but he does not care about that. He clarified he had his first Pfizer BioNTech COVID-19 Vaccine shot in his left deltoid, and his left upper arm hurt. He said his left upper arm felt worse than getting a tetanus shot. He said he had really sensitive skin, and was white as a ghost. He said he did not have any swelling on his left upper arm and had put ice on his left upper arm earlier. He said he know, and intramuscular shot takes a few hours to get into the blood stream, and he did not know if the Pfizer BioNTech COVID-19 Vaccine passed through the blood brain barrier. He had muscle spams last night. He clarified he had the muscle spasms prior to the Pfizer BioNTech COVID-19 Vaccine. He said the muscles spasms were from a prior accident he had. He said he took one SOMA (Carisoprodol) last night (16Mar2021), clarifying the Carisoprodol was prescribed for his muscle spasms. He said he was prescribed a low dose of Carisoprodol for his muscle spasms. He said he usually takes Carisoprodol 250mg tablet up to twice a day (250mg at midday & 250mg at night). He said he had been taking Carisoprodol for 3 years. He said he took the 1 Carisoprodol 250mg tablet with the Zebeta (beta blocker) last night and he had no crazy muscle spasms. He said the Carisoprodol was dispensed in a pharmacy bottle and didn't have the NDC, Lot and Expiration Date listed. He had a complete blood panel a few months ago, and everything was fine. He had anxiety, ADHD and insomnia, saying that was why the takes his medications. He stated he did not take his Adderall this morning. He said he takes a generic Adderall 20mg Immediate Release tablet, twice a day (20mg in the morning & 20mg at 2:00PM). He said he had been on Adderall for about 8 years. He said the generic Adderall 20mg Immediate Release tablet was dispensed in a pharmacy bottle and had no NDC, Lot & Expiration Date listed. He does not drink coffee, and wanted to make sure that was noted on the report. He takes an Amitriptyline 50mg tablet at night. He stated he has been taking Amitriptyline 50mg for about 3-4 years. He said the Amitriptyline 50mg was dispensed in a pharmacy bottle, and he does not have the NDC, Lot, and Expiration Date. He said before the Amitriptyline, he used to take a Trintellix 20mg tablet once a day. He said the Trintellix 20mg was made by Takeda and was a terrible anti-depressant. He said he took Trintellix for about a year and a half, and the Trintellix did not do too much, he said the Trintellix was not working. He said the Trintellix gave him terrible constipation and nausea. He said he still had 4 Trintellix manufacturers bottles at his father house. He said the Trintellix 20mg was probably expired, and he had kept the Trintellix 20mg because it cost about $500 a bottle. He could not take SSRIs, like Paxil, Sertraline, and Lexapro. He said the SSRIs caused problems like sexual dysfunction. He said he does not have the NDC Number, Lot Numbers, and Expiration Dates for the SSRIs he used in the past. He said he was still with his pediatrician at the time he was taking SSRIs, and had since thrown out all his SSRI prescription bottles. He had some questions about the ingredients in the Pfizer BioNTech COVID-19 Vaccine. The patient underwent lab tests and procedures which included blood pressure measurement: 160/98 on 16Mar2021 , heart rate:100-110, heart rate:113, heart rate: 140 on an unknown date, heart rate: 120 on 16Mar2021 bpm , complete blood panel: everything was fine on an unknown date, oxygen saturation: good on 16Mar2021. Therapeutic measures were taken as a result of events includes Gabapentin, Carisoprodol, Clonazepam, Zebeta, Adderall. The clinical outcome for events his heart beat was fast and his heart rate was up to 120bpm last night, he had bad diarrhea from 4:00AM-5:30AM, his dry eyes started around 12:00PM yesterday was recovering and outcome for events hypertension, his stomach started to hurt between 8:30-9:00PM last night, Fever ,feeling unwell was unknown while rest of events was not recovered. Description of Product Complaint: He was on Gabapentin, and then was put on Lyrica. He said the Lyrica did not work as well as the Gabapentin. He clarified the Lyrica 75mg was stronger than the Gabapentin, and he did not like how tired he was while taking the Lyrica 75mg. He said he took the Lyrica 75mg for a month or 2, and then was put back on Gabapentin. He said he was no longer taking either the Gabapentin or Lyrica. He said he had taken the Lyrica 75mg 6-7 years ago, and he no longer had the prescription to provide the Lyrica NDC, Lot, and Expiration Dates. He said in 2016 he was on the maximum dose of Gabapentin, and no longer had the Gabapentin NDC, Lot, and Expiration Date. He used to take a Trintellix 20mg tablet before he started taking Amitriptyline 50mg. He stated the Trintellix was a terrible anti-depressant. He said he took Trintellix for about a year and a half, and the Trintellix did not do too much. He said the Trintellix was not working. He said the Trintellix gave him terrible constipation and nausea. He said the Trintellix was dispensed in a manufacturer bottle, and he did not have the NDC, Lot, and Expiration Date to provide. He said he still had 4 Trintellix manufacturer bottles at his fathers house. He said the Trintellix was probably expired, and he had kept the Trintellix because it cost about $500 a bottle. No follow-up attempts are possible. No further information is expected.

Nausea, loss of sight, extreme dizziness 5 minutes after receiving shot Extreme fatigue, dizziness, depression, psychosis, heat flashes, insomnia, irregular and rapid heart rate

Two weeks after the second vaccine shot, patient had a seizure while sleeping. It was a grand mal seizure that lasted for three minutes. Afterwards he was lethargic and does not remember the events

immunisation. Prior to the vaccination, the patient was diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. The patient did not receive any other vaccines within four weeks prior to the vaccination. On 28Mar2021, after 12 hours of vaccination at 23:00, the patient experienced shortness of breath, brief fever, chills, muscle soreness, head fog and exhaustion. The adverse events did not result in doctor or other healthcare professional office or clinic visit and emergency room or department or urgent care. No therapeutic measures were provided for the reported events. The clinical outcome of the events shortness of breath, brief fever, chills, muscle soreness, head fog and exhaustion were resolved with lasting effects at the time of reporting. No follow-up attempts are needed. No further information is expected.

Increased heartbeat, heart palpitations, significant increase in blood pressure at 150/90, for a healthy young 23 year old who would usually receive a blood pressure test of 120/70 during normal circumstances. Inability to sleep or stay asleep since the vaccination, every time I attempt to fall asleep, heart rate increases, convulsion occurs followed loss of feeling in extremities. Cognitive decline, inability to remember certain events, and communication skills have greatly diminished. Reduced Appetite. Neurological Symptoms (Numbness throughout body, Entire body is numb). Anxiety Attacks.

Migraine; fever; muscle soreness; chills; issues staying asleep; shortness of breath; This is a spontaneous report from a contactable Other HCP (patient). This 24-year-old male received the second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, solution for injection),LOT# EL0140 at right arm on 06Jan2021 02:15 PM at SINGLE DOSE for COVID-19 immunization. The patient received his first dose of the same vaccine BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE) on 16Dec2020 02:30 pm at right arm Lot # EK5730 .Medical history included : Ilioinguinal neuralgia and Migraine without status migrainosus, not intractable.Patient had past drug allergy to Valacyclovir and Nsaids.No COVID prior vaccination. Facility where the most recent COVID-19 vaccine was administered was hospital .The patient didn't received any other vaccines within 4 weeks prior to the COVID vaccine. The patient received concomitant medications within 2 weeks of vaccination.On 07Jan2021 at 08:00 AM, upon second dosage of vaccine, the patient experienced Migraine, fever, muscle soreness, shortness of breath, chills and issues staying asleep. The events were assessed as non-serious. The patient had not been tested for COVID post vaccination. No treatment received for the events.The outcome of the events was recovering.

Mild nausea started around 6pm, 10 hours after initial dose. Chills started around 10:30pm and progressed to a 103 degree fever by 12:00am. Fever and chills persisted for the next 12-14 hours preventing me from going in to work. Nausea became noticeable again as the chills subsided. Fever broke around 6:00pm the next day, 01/20/2021. Significant soreness at the injection site was present almost immediately and through 01/20/2021

Chills(moderate), HA(mild), muscle aches (severe), lightheadedness (moderate), fatigue (moderate) Resulted in leaving work at hospital early

Woke up approximately 14 hours after receiving dose #2 with body fatigue. My large joints (e.g., hips, knees, elbows, shoulders) started to develops aches/discomfort. A hot shower helped relieve the initial discomfort, and I took 1g of APAP ~45 minutes after waking up. I then reported to work, which is an ambulatory care clinic that is working a drive-up clinic. As such, I had to work outside in ~20F weather. I had 4 layers on my upper body and 2 layers on lower body with wool socks. The cold did not bother me for the first two hours as I was able to return to a warm area between patients; however, as work became busy, I spent more time outside. The aches/discomfort in my joints progressively worsened as well as the general bodily fatigue. I took another 500mg of APAP, but it did not help much more. Eventually, the cold and body fatigue made breathing uncomfortable, and my breathing became slightly labored. Returning to the warm environment helped the symptoms not get worse, but focusing on tasks became slightly difficult. I returned home at approximately 1630, took another 1g of APAP, and proceeded to sleep from ~1730 until 0530 the next morning. I woke up feeling much better.

Patient is here today for personal appointment. It was noted by EMS that he was complaining of chest pain / pressure and experiencing shortness of breath / difficulty breathing per patient report. At 1625, call placed to outside EMS. History of: depression, obesity, history of stress-induced cardiomyopathy Nursing Assessment: Airway: Open Breathing: Spontaneous Circulation: Pulse present Mentation: Alert Skin: Normal Patient monitored. and Oxygen saturation level obtained. Patient complained of feeling disorientated after first dose of vaccine. After second dose patient complained of feeling tightness in his chest, some shortness of breath, and an itch in his throat. Patient on EMS monitor with a HR of 90 and oxygen saturation of 100%. EMS offered patient IV Benadryl which patient refused. EMS activated outside EMS service and was taken to ER. Patient agreed to plan of care He was transported to the emergency department via ambulance at 1635.

unable to bear weight on legs/could not walk or bear weight; shortness of breath; fever; nausea/nauseous; pain in left shoulder radiating to left chest 4/10; Chest pain at the side 5/10; tried to get up to walk but was very shaky and could not get up to walk/unable to walk/could not walk or bear weight; dizzy/light headed; almost instantly was sharp stinging in injection site; tried to get up to walk but was very shaky and could not get up to walk; WBC 14000, no unit of measurement, normal was 11000; This is a spontaneous report received from a contactable pharmacist and consumer (patient). A 24-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; Solution for injection; lot number: EL3302 and expiry date: May2021), via intramuscular route on deltoid left on 25Jan2021 15:57 at 0.3 ml single for COVID-19 immunization at hospital. Patient did not receive other vaccine in four weeks and in last two weeks. Patient's medical history, family medical history and concomitant medications were reported as none. Patient had no known allergies. Historical vaccine included BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE; lot number; EL1284; expiry date: Apr2021) via intramuscular route on left deltoid on 04Jan2021 at 10:45 AM for COVID-19 immunization; Hep B Adult Energix-BPFS (HEPATITIS B VACCINE, lot number; 2793Z) on left deltoid on 12Jan2021. Patient received 3 previous doses of HEPATITIS B VACCINE. It was reported that, the patient complained of pain in left shoulder radiating to left chest 4/10 and nausea immediately following injection, Chest pain at the side 5/10 (on 25Jan2021 at 14;00, after second dose of COVID vaccine). Taken to the ED (emergency department) via wheelchair at 1700. No rash, no swelling of lips/tongue or throat. No treatment was given for the events nausea and pain in left shoulder. No COVID was presented prior vaccination and post vaccination. Patient stated almost instantly was sharp stinging in injection site, he felt nauseous, dizzy, light headed, and had chest pains, he tried to get up to walk but was very shaky and could not get up to walk on25Jan2021 at 14:00. Stated that he was wheeled to the emergency room, he was admitted to the emergency room for almost 8 hours. Clarified he was not admitted to the hospital that he did leave that night. He was able to stumble out of the emergency room to go home. Clarified he got the vaccine on 25Jan2021 (his second dose). Stated he woke up next morning on 26Jan2021, unable to bear weight on legs, chest pain, and shortness of breath, fever. HCP prescribed Arnuity for the chest pain. WBC 14000, no unit of measurement, normal was 11000. Patient was unable to walk, nausea, dizzy, lightheaded and having some chest pain and patient was not hospitalized, spent 8 hours in Emergency Room. Outcome of the event fever was recovered on 27Jan2021; nausea, dizziness, was recovered on 31Jan2021; Unable to walk, lower extremities weakness of, shortness of breath was recovering; the event chest pain was not recovered; and for remaining events it was unknown.

Numbness, tingling and pain in arm from shoulder to fingers. Stomach pain. On March 1, early a.m., a mental breakdown occurred and was admitted to hospital. Poor to no communication ability, totally confused, doing bizarre things like turning on water and leaving room, stacking furniture, not knowing where he was.

Ten minutes post-injection, pt. fell out of chair, exhibited loss of color with confusion; HR 64, RR 16. Pt. has history of vagal with blood draw and injections. Vitals taken every 10 minutes x 3. Pt. placed in Trendelenburg position with nurse and doctor at bedside. Pt. given water, food, and cold rag to neck. Pt. color improved, alert, stable for dismissal.

Apprehension, dizziness 11:30am 136/80 80 02sat 99%; 11:42am 130/77 80 02sat 98%; 12:04pm 125/80 70 02sat 99%; Gave patient snack and water.

10 Minutes following the vaccine I experience G.I (Gastro intestinal) issues, upset stomach. The following day my neck felt as if there was a lump in it, probably from swollen lymph nodes. As days pass I had several sinus attacks, Acid reflux, and being weak in general. Which I dont regularly have. I am still experiencing a lump like feeling in my throat.

Patient presented in our Pharmacy in good health but feeling very anxious about receiving his first in series COVID 19 Pfizer vaccination. Patient was able to ambulate on his own after receiving the vaccine. Patient was sitting with his father and stated to him that he didn't feel right. Patient then fainted 10 min after receiving vaccine. 911 was immediately called and Epi pen was not administered. Patient was not transported to the hospital.

Itching at site 5-12 hours post injection, severe muscle pain at sight 8-16 enough to wake from sleep in any pressure was applied, 12 hours post injection sever migrain, chills borderline hypothermic, immediate hot flashes as though I was in boiling water, sneezing. All subsided by 24 hours post injection beside migrain which became vary minor and at 24 hours full body soreness and fatigue equivalent to an extreme full body workout set in.

Not feeling well, became lightheaded, Admits to being nervous. Taken outside for fresh air, does not to be transported to hospital

After previously feeling no side effects, at 3am the day following the vaccine I awoke with chills, dizziness, fatigue, whole body arthralgias that I can only describe as feeling like my bedsheets felt like broken glass. Around 6am I measured my axillary temperature to be 100.9 F and took 650 Tylenol once which broke the fever. I was unable to go in to work that day. Now, two days after the vaccine, my other symptoms have resolved aside from a painful, and visibly noticable, lymph adenopathy in my left arm pit the same side as the vaccine.

Excessive ear wax production; acne; immense pain at injection site and in shoulder of that arm; nausea; excessive hunger; feeling/acting inebriated

Starting at 12:30am on Sunday, I started experiencing severe chills and headaches. I normally sleep through the night with no issues whatsoever (I'm a healthy 6'1" 170lb 24-year-old guy with no co-morbidities) but had a restless night where my fever eventually rose to 101 degrees Fahrenheit. This continued throughout the next 48 hours with my fever fluctuating between 99.5 and 101. I woke up 5-6 times both nights completely drenched in sweat.

3/31/2021 Patient was observed post Covid-19 immunization for 60 minutes for symptoms of agitation and shortness of breath. During the observation period, he experienced an adverse reaction with the following symptoms: per mother who is caregiver to son who is non- verbal with cognitive impairment- complaints of difficulty breathing and severe agitation. Assessment : Time of assessment 1100 Tachycardia. Extreme agitation , Medical interpreter used, patient non-verbal , cognitively impaired, attempted VS - unable to achieve due to combativeness. Actions taken: VS attempted- HR- 108, RA O2 sats - 99% Medications administered: No medication administered. Disposition: 911 called and patient transported to hospital for extreme agitation , tachycardia and trouble breathing. Immunizations Administered Name Date Dose VIS Date Route Pfizer COVID-19 Vaccine 3/31/2021 10:47 AM 0.3 mL 12/11/2020 Intramuscular Manufacturer: Pfizer, Inc Lot: EP7533 NDC: 59267-1000-2 Electronically signed by RN at 3/31/2021 12:08 PM Immunization on 3/31/2021 Detailed Report Note shared with patient

Pfizer-BioNTech COVID-19 Vaccine EUA Full-body muscle tightness, Extreme Full-body pain, delirium, violent shaking, fever of 105 F, Extreme shortness of breath, vision impairment. All adverse effects lasted for approximately four hours Ambulance would have been called but inability to move/speak prevented call for help

Patient reported feeling dizzy, anxious, rapid heart rate, slight elevation of blood pressure, mild shortness of breath. Patient requested 911 assistance. Paramedics assessed patient and after 30 minutes directed patient to hospital. Patient was not transported via ambulance. Patients Mother drove him to hospital for further assessment. I tried to contact patient 3 hours later and there was no answer. I left message to follow up.

Woke up in the middle of the night after getting the shot: body aches, chills, fever Throughout the day after the shot, had body aches, chills, fever Two days after the shot, the above symptoms cleared, but headache was most painful it?s been

MINUTES AFTER RECEIVING VACCINE, PATIENT FELL AND WOKE UP CONFUSED. POSSIBLE SLIGHT SYNCOPE. PATIENT SEEMED FINE AFTER SITTING DOWN AGAIN. PATIENT TOLD TO WAIT 30 MINUTES LONGER AND TO CONTACT SOMEONE ELSE TO DRIVE HIM HOME. OFFERED TO CALL 911, BUT PATIENT DECLINED AND SAID HE FELT FINE.

anxiety, mild chest tightness, shortness of breath. resolved after 2 administrations of 25mg diphenhydramine. patient remained in clinic for about 45 minutes before being discharged home.

Patient here for 1st dose of Pfizer. Has concerns of lightheadedness, nausea and anxiety after getting vaccinated. Juice provided. EMS called. Medics took over care for the patient, vital signs were reported to be stable. Patient was escorted to the post-vaccination observation area after reporting that he felt better and was okay to walk. Was able to discharge independently with family member following the adverse event.

Client reported mild anxiety, dizziness following Pfizer 1st dose. Client was provided with juice, client's symptoms resolved entirely and patient was able to leave independently at the 15 minute mark (per protocol).

Significant fogginess of brain which has only worsened and is still lingering to now (4/18/21). Simultaneously this is mixed with fatigue regardless of how much sleep I get or water that I drink. Less frequently I have symptoms like eyes burning (similar to bad allergies), slight dizziness, minor headaches, and minor body aches. The fatigue and brain fog are by far the worst and still persist, the others listed are minor but still come and go in small amounts. On Wednesday (4/14) I took Zyrtec (10mg tablet) to help focus throughout the day then one ibuprofen tablet (200mg) at night, and on Friday (4/16) I only took the Zyrtec. Since then I have not taken any medications. The symptoms were alleviated by the medication but without them all symptoms come and go to varying degrees throughout the day and worsen by night time.

Pfizer-BioNTech COVID- 19 Vaccine EUA: Vaccine recipient experienced near syncopal episode/anxiety during the observation period. Vaccine recipient was monitored EMS for 30 minutes. They felt better and exited the site on their own.

Immediate Effects: 10 Minutes - Heat Flash, Feeling of Fainting, Gasp for Air (Lasted 20 seconds) Post-Immediate Effects: 45 Minutes - Extreme Difficulty Breathing while driving; Symptoms of Panic Attack Set in (Never Had a Panic Attack Prior - Arms, Legs and Lower Jaw was tingling and numb; Could not speak; Difficulty in Dialing 911 from rapid finger movement.) Received Medical Attention from EMT and chose to go home when severe symptoms subsided after 20 minutes. Long Term Effects: Day 2 to Present: Difficulty breathing, confusion, unable to do any physical task (walking up stairs) without being dizzy, disoriented and gasping for air, pain near arteries in neck, knee and heart - with each pulse. On 4/12/2021 - Urgent Care Visit - Long Term Symptoms Present. PulseOx read 96; Tested Negative for COVID-19. Nurse Practitioner recommended ER if condition worsened. On 4/17/2021 - ER Visit - Severe Long Term Symptoms Present. Blood Panel Done; Chest X-Ray, EKG, Brain MRI. ER Doctor recommended seeing neurologist, immunologist and cardiologist.

I felt like I just had the worst flu of my life. Migranes, fever, chills, and massive fatigue. I also had a panic attack.

Events: Tingling in left arm, lightheaded, nauseous, trouble breathing, sweating, temporary loss of vision, increased blood pressure. Treatment: immediate help, fanning, given water, asked state of mind questions, Outcome: vision returned, heart rate and blood pressure returned to norma, started shivering for a few minutes. Lingering feelings of anxiety/unease. Arm soreness.

within 1min of injection: Dizziness/Vertigo, Sense of impending doom, Elevated heart rate, Heat/chill waves

Got the shot at 10:00AM. Around 1:00PM I was feeling like I had no energy. I went to sleep at 9:30PM. Woke up at 11:30PM extremely cold and shaking, no fever. Was awake for about 45 minutes then slept for about an hour. Woke up again insanely hot and sweaty. Then I kept waking up every 30-60 minutes. Woke up for the day at 6:05AM. Had a headache, very bad body aches, brain fog, dizzy, fever, no energy. Spent the whole day feeling like this. Woke up the next morning at 6:05AM, still had a lot of body aches and a low fever. Also now had chest pains. It is now 11:30 PM and I do not have a fever but still have body aches and chest pains.

Normal reaction the following day, strong fatigue, headache, nausea, arm soreness. Disappeared 36 hours later. 3 days later experienced heavy nausea, anxiety, gastrointestinal discomfort. Heavy bloating, inability to pass gas, loose stool/diarrhea all week. 7 days post vaccination symptoms came back, feeling of wanting to vomit, strong nausea, loss of appetite. 7-14 days later lost majority of appetite, eating aversion, heavy bloating, nausea and continuing diarrhea. Weakness, fatigue and shaking. Received Stool sample and blood test April 13. Elevated levels of albumin and red blood cell count. Doctor said it was most likely from dehydration. Zofran prescribed April 13 and only taken 2 days. Nausea subsided and ability to eat came back slowly. Since April 15th have been eating more food, but still have to force myself to eat. Hunger pangs rarely felt, only know when hungry when stomach churns and fatigue sets in. Today, April 28, still experiencing slight anxiety, loose stools once every other day, brain fog and depression. Lack of emotion, irritability and periodic upset stomach still persist, along with appetite loss. Am able to eat filling meals again, but no appetite makes food less appealing. Failure to thrive still evident and feeling like I won't get better evident. Treatment during illness was minimal, urgent care did nothing other than prescribe zofran. Gastroenterologist and GP cannot see me for another 2 weeks.

Pt was found on floor after falling from chair. Pt was shaking and jerking while on the floor with possible seizure activity that lasted approx. 3-5 seconds. Patient sat up on his own and was confused and alert. Once patient became more coherent, he was able to answer questions. Alert and oriented x3. Abrasion noted to left side of face. Vital signs obtained with BP 110/78, HR57, 02 100% on room air. Patient was warm to touch. Cool compresses applied to neck and back areas. Patient stated he, "thought he fell asleep and when he awoke all the people around startled him." Patient refused EMS care and transportation to hospital. 2nd set of vital signs obtained with BP 106/78, HR 70, O2 100% on room air. Mother was contacted about incident. Patient was monitored for an additional 30 mins. After the additional monitoring, patient insisted that he felt better and ambulated to lobby to self. At time of exit, patient was alert and oriented x3.

Patient reported a "weird reaction." Felt odd right afterwards. Felt like his throat was tight. "Maybe" had sob with it. He was monitored for 40 min thereafter and it subsided spontaneously. It took him a while to feel better. No rashes and did no need medication.

Tinnitus developed in both ears after COVID vaccine (1st dose). Loud persistent high pitched ringing making it difficult to sleep or concentrate. For example, I need to use a loud floor fan to drown out the ringing at night.

Briefly after administering (2 mins after) of vaccine patient passed out and suffered a head injury. Patient did not remember falling and was responsive. Rescue came to the scene and patient was transported to the hospital

Woke up the following day with chills and a small fever, worsened to 101°F fever. Restlessness throughout the day, strong headache and fatigue. Vomiting and not able to eat food. Stronger symptoms mostly gone by midnight of 04/31/2021.

PATIEN STARTED TO EXPERIANCE A THROBBING HEADACHE APROXAMATELY AN HOUR AFTER THE VACCINE, PATIENT ALSO NOTED AN ELIVATED HEART RATE AND DID ALSO SAY HE WAS HAVING TROUBLE CATCHING HIS BREATH, BUT SAID IT WAS PROBOBLY BECAUSE OF HIS MASK HE WAS WEARING., PATIENT WAS MAINLY CONCERNED ABOUT HEADACHE. PATIENT WAS WALKED IN BACK TO THE CLINICAL SERVICE ROOM NEXT TO PHARMACY SO HE COULD BE MONITORED SOME MORE , I ASKED IF WAS EXRIENCING ANY MORE SYSPTOMS,NEGATIVE. COUNSLED ON POST VACCINE ADVERSE EVENTS AND THAT HE COULD EXPERIANCE MORE SYMPTOMS LATER ON SUCH AS FEVER,CHILLS AND WAS COUNSLED OTC SOLUTIONS TO TREAT. WAS OFFRED AND ACCEPTED OTC IBUPROFEN AND WATER. SINCE PATIENT WAS WORKING WHEN ADVERSE EVENT OCCURED , TALK TO STORE MANAGEMENT TO LET ASSOCIATE GO HOME SO THAT HE COULD REST. WAS SENT HOME TO REST.

The day after getting the second dose of the vaccine I had strong body aches and trouble sleeping. I could not get comfortable in my body until I took ibuprofen. It was a very uncomfortable feeling. Day 2 was slightly milder, but still very sore. Day 3: headache and general discomfort Day 4: general discomfort

Woke up in the middle of the night, 12 hours after the shot, with uncontrollable chills, nausea, headache, and fever. Had to stay awake from 3am-5am because on the verge of vomiting, but never did. Kept sipping water and took 2 ibuprofen. The symptoms dulled slightly after 5am but had a 100 degree fever all day, along with full body muscle soreness and couldn't leave the couch more than a few times because of moderate nausea, headache, and soreness.

Unexpected loss of consciousness day after vaccination, emailed my doctor and they said it was most likely vasovagal syncope from anxiety. Resolved within minutes with no lasting effects.

Extreme nausea, dizziness, and feeling off balance. Brain fog/inability to concentrate. Extreme sensitivity to motion. Cannot move around without feeling nauseas/ill. Symptoms sometime "come and go" in extreme waves. (feeling fine one moment, followed by severe nausea). Brain fog and dizziness subsided after 3 weeks. All other symptoms still extremely severe and ongoing.

Fever the night of, and body aches, vertigo, dizziness, nausea for three weeks after and running. Extreme mental fogginess, difficulty concentrating, or functioning at all.

Headache; insomnia; This is a spontaneous report from a contactable Other HCP (patient). A 24-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration in right arm on 25Jan2021 at 05:00 PM as 2nd dose, single for COVID-19 immunization. Patient previously received bnt162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE, Solution for injection, Lot number: unknown), via an unspecified route of administration on an unspecified date as 1st dose, single for COVID-19 immunization. Medical history and concomitant medication were not reported. Facility where the most recent COVID-19 vaccine administered was hospital. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Prior to vaccination, the patient was not diagnosed with COVID-19. Since the vaccination, the patient had not been tested for COVID-19. On 26Jan2021 at 07:00 PM, patient experienced headache, insomnia. No treatment was received for the adverse events. The outcome of the events was not recovered. Information on the lot/batch number has been requested. Follow-up (15Apr2021): This follow-up is being submitted to notify that the batch/lot number is not available despite the follow-up attempts made. Follow-up attempts have been completed and no further information is expected.

Patient stated he felt nauseated and dizzy. When he attempted to stand up to move to the cot, he was unable to steady himself and he said he felt shaky, so RN, brought cot to him, and a few Admin staff surrounded him with drapes dividers. He laid on the cot to rest, legs elevated, and he stayed approx 30minutes. He said he was cold and he just felt "off." Today's dose was his second, and he said he had no reaction to the first dose. He said he ate today. He drank an 8oz bottle of water. Cool pack applied to back of his neck. He said he felt nausous,and was unable to sit up after several minutes of laying down on the cot. After some deep breathing exercises, and resting, he began to feel a little better. RN brought his wife into the area from the car where she was waiting. Eventually, he said he was feeling steady enough to sit in a chair. RN's, B and D helped him out of cot and into a folding chair. After a few minutes, he said he still felt "not like himself" and the decision was made to go to the urgent care. RN D and worker assisted patient to the passenger side of the car. 1500: 124/90 P99 T98.3 R16 1515: 120/70 P67 T98.3 POx99% 1530: 120/78 P80 POx 99% R1

Pt w/ a hx of unknown Advil reaction. Flushing/sweating, dizziness, vasovagal episode. Pt had a vasovagal reaction from fear of needles/anxiety. Placed patient in Trendelenburg position and felt normal/baseline. OJ given. BP 103/61, HR 102, RR 18 -- > 115/63, 89, 18. Pt stable and released from vaccination site.

Client received vaccine at 9:35am. Client was immediately syncopal and fell and hit head on floor. RN who administered vaccine noted possible brief tonic clonic activity during syncope. Patient pale and sweating. Client awoke within seconds after fall and was panicked and trying to stand back up. RNs reassured patient and helped patient back into safe lying position. Legs were elevated, VS assessed, ice applied to back of head. No bleeding noted. When patient felt ready and was alert/oriented, nurse raised patient to sitting position and moved into wheelchair. Patient still pale and sweating. Lead RN called EMS due to concern for potential head injury with fall. Patient states that he is lightheaded again and loses consciousness again in wheelchair as RN and EMT are wheeling patient out to be received by EMS squad. EMT supporting patient airway during second LOC - RN notes that airway support (with EMT hands) may be too tight as patient red faced and some throat gurgling. EMT adjusts grip. Patient regains consciousness within 1-2 minutes after second LOC. Patient disoriented - is able to say why he is there and what his name was but cannot remember his age. EMS arrives and takes over care. EMS assessed patient and recommended to transport patient to ED for further assessment. Patient refuses transport to the hospital. EMS squad waits with patient until family member arrives. Patient states family member will transport to hospital. Patient leaves clinic site with family member in car. First set of vitals/assessment after first LOC at 0940 142/96 BP; 74 pulse; 16 respirations; 97% spO2; 97.7 temp; PERRLA. No bleeding on head; scrape noted L elbow. EMS was called at 9:49am. EMS arrived at 9:54am. Patient states no major medical history, not on any meds. Patient has fainted one time previously after broken thumb.

24-year-old male with no prior medical problems presents for evaluation of chest pain. Patient complains of midsternal chest pain that started approximately an hour ago. He states that it woke him up from sleep. Pain is sharp without any radiation or other associated symptoms including diaphoresis presyncopal symptoms or palpitations. He denies any significant air hunger or shortness of breath. He otherwise had been feeling better after what he tall was post COVID vaccine symptoms. Patient received a 2nd dose of pfizer vaccine 3 days ago. He states that within 24 hours he had symptoms of myalgia fever and feeling unwell. That has been resolving patient has been feeling better until the chest pain today. Patient otherwise denies any other medical problems in. He denies any history of drug use including any recent cocaine or other drug abuse. Elevated cardiac enzymes and chest discomfort are likely secondary to myocarditis and secondary to vaccination/ inflammatory reaction. Although there is low likelihood of obstructive coronary artery disease as well. I recommended cardiac catheterization for clarification. He does not want to have the procedure done, understands the risk of undiagnosed coronary artery disease and risk of MI. He would like to be discharged home. I reviewed the images of echocardiogram and it seems that he has a small area of hypokinesis in infero basal segment. Recommended to take aspirin and be seen in Cardiology office in 2 weeks. Advised to abstain from exercise and significant physical activity till that time and return to the hospital if any symptoms. Subjective: I saw patient in consultation for evaluation of chest pain and elevated cardiac enzymes. Patient is a 24-year-old healthy male who had COVID-19 vaccination with his second Pfizer shot 4/14/21. He developed fever, chills, nausea and vomiting 1 day after vaccination. He did not have any reaction to the 1st dose. He presented to the hospital with substernal chest discomfort which woke him up from sleep, radiated to throat and had a throbbing feeling. This lasted for 1 to 2 hours and subsided completely in the hospital. He smokes 5 cigarettes a day, is physically very active and exercises regularly. He is not on any medication at home.

Patient became diaphoretic reported feeling weird and was going to pass out. RRT called. Patient transferred to ED.

Started developing chest pain a week after taking the first dose. Progressively worsened since then till present/had bouts of sharp chest pain/CP; X-Ray showed pleural effusion and slight fullness of main pulmonary artery.; pleural effusion; Fatigue/tiredness/High fatigue and tiredness persisted from right after the vaccine till present; diarrhea; tiredness; high fever; chills; nausea; brain fog; This is a spontaneous report from a contactable consumer. A 24-year-old male patient received bnt162b2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration on 12Apr2021 as 1st dose, single for covid-19 immunisation. The patient medical history and concomitant medications were not reported. The patient started developing chest pain a week after taking the first dose (13Apr2021). Progressively worsened since then till present. At present also have fatigue, diarrhea and tiredness. Yesterday, had bouts of sharp chest pain so got an X-Ray from ED which showed pleural effusion and slight fullness of main pulmonary artery. Doctor stated it was indicative of CP. In the initial few days after the first dose, had high fever, chills, nausea and brain fog. High fatigue and tiredness persisted from right after the vaccine till present. The patient was very healthy and have never had a heart complication before. The timing might be indicative of a causation between the vaccine and the present medical condition. Ae resulted in doctor or other healthcare professional office/clinic visit. There is no other vaccine in four weeks, no other medications in two weeks, no treatment for ae, no covid prior vaccination. The patient tested covid post vaccination (RT-PCR) with Nasal Swab on 03May2021, covid test result was Negative. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. List of any other medications the patient did not receive within 2 weeks of vaccination. The outcome of the events was not resolved. Information on the lot/batch number has been requested.

near syncope 5 min post vaccination. fell over on registration table while booking 2nd dose appt. did not lose consciousness or fall on the floor. no injury sustained. light headed, dizzy, slight disorientation, pale. BP 142/55 HR=84 100%O2 on room air. observed for 30min, team alert called but pt declined to be seen in ER. drinking apple juice and water. per pt report has fainted in the past during injections

Severe brain fog and headaches. I feel like I can't relax. It's like someone is lightly squeezing my brain all the time and I'm only getting 5 hours of sleep every night.

Myopericarditis, 3 Days after Vaccination, elevated troponin/NSTEMI, chest pain Treated with high dose ASA/Colchicine per cardiology

Site: Pain at Injection Site-Medium, Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Medium, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Hyperventilation-Severe, Systemic: Hypotension-Severe, Systemic: Numbness (specify: facial area, extremities)-Medium, Systemic: Shakiness-Medium, Systemic: Tachycardia-Medium, Systemic: Visual Changes/Disturbances-Medium, Additional Details: Pt has history of vaso vagal syncope. Patient entered an episode of syncope and quickly recovered. Paramedics arrived to futher consult patient to recovery.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Exhaustion / Lethargy-Mild, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Medium, Systemic: Shakiness-Medium, Additional Details: Pt fainted after 3 mins of getting vaccine. He asked for water and passed out. His head jerked every 3 seconds slightly for 25 seconds. Alcohol was provided under nose but provided no relief. After 25 seconds of LOC, he woke up. He drank water and caprisun, and felt better.

Felt sick/slightly feverish 12 hours after shot, hard to sleep. Day after shot was mostly normal, though a little under the weather. After another day, all cold symptoms were gone. Tinnitus in the right ear started 3 days after 2nd Pfizer COVID shot. Initially was only audible at night, when sleeping in a quiet room, but after 2 days became audible during day. Tinnitus presented as a high pitched steady ringing in the ear. Triggered intense anxiety and perception of the tinnitus increased to almost debilitating levels. Mental health counseling and prescription of daily amitriptyline to help with sleep and lorazepam to take as needed for anxiety has helped cope with tinnitus and associated mental aspects. Ringing still persists after almost four weeks after it started, but is perceived to be less loud now.

Passed out roughly 4 minutes after injection; Low bpm afterwards when paramedic showed up (30-40); sweating; EKG showed PVC of heart; dizziness; disorientation; low energyand weakness; This is a spontaneous report from a contactable consumer (patient). A 24-year-old male patient received BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE), dose 1 via an unspecified route of administration, administered in Arm Left on 20May2021 10:30 at age of 24 years old, (Lot Number: W01768721) as 1st dose, single for covid-19 immunisation. Medical history included known allergies: Augmentin. Any other medications the patient received within 2 weeks of vaccination was none. Clinical course reported that: Passed out roughly 4 minutes after injection. Woke up after 2 minutes sweating. Low bpm afterwards when paramedic showed up (30-40). 2 IV bags administered. EKG showed PVC of heart. Still have dizziness and disorientation as well as low energy and weakness 4 days later. Adverse events onset date reported as 20May2021 10:30 AM. Events resulted in Doctor or other healthcare professional office/clinic visit, Emergency room/department or urgent care. Outcome for events was not recovered. The patient was not diagnosed with COVID-19 prior to vaccination, and since the vaccination, the patient has not been tested for COVID-19. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. Information on Lot/Batch number was available. Additional information has been requested.

Days following dose 2, I began having fluid retention and elevated blood pressure. Over time, it has worsened. I am now having dizzy spells that can last 10 minutes to 6 hours up to twice a day, confusion/brain fog and heart flutters/elevated heart rate usually accompanied with fatigue. My previous doctor treated me by increasing the metoprolol and adding hydrochlorothiazide for fluid retention. I saw a new healthcare provider who is sending me to a cardiologist, neurologist, lipidologist and endocrinologist to figure out what is going on. I can not function in daily life. I cannot stand when dizzy and cannot drive. Symptoms appear to be worsening. In the meantime, he prescribed Ubrelvy to rule out migraines. None of this appeared until after dose 2 of Pfizer.

Feel like I'm experiencing myocarditis, it felt like a sore muscle in my chest, and gradually went from one pulse of pain to a mild constant pain, about a 2 on a scale of 1-10

A few days after receiving the injection, subject started complaining about feeling like he has a lump in his throat. Now a week past and he still has the same sensation. Difficulty swallowing.

3 weeks later he developed Tinnitus/Tinnitus was reported as worsened; cannot sleep; headache; anxiety; This is a spontaneous report from a contactable consumer. A 24-years-old male patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: Solution for injection, lot number: ER8729, patient was 24 years old at the time of vaccination), via an unspecified route of administration in Arm Left on 17Apr2021 at 13:00(Patient age at time of vaccination: 24 years) as a single dose for covid-19 immunisation at pharmacy. The patient's medical history and concomitant medications were not reported. There was no Family Medical History Relevant to AEs. There was no Prior Vaccinations (within 4 weeks) and no associated AEs following prior vaccinations. The reporter stated that patient gets a flu shot every year and is ok. The patient experienced tinnitus 3 weeks later. Upon follow up (11-may-2021), it was reported that on 06May2021, the patient experienced slight side effect in his ear like Tinnitus, Cannot sleep (ongoing), ongoing Headache, ongoing Anxiety and seriousness for Tinnitus was reported as worsened, whereas reporter seriousness for all other events was unspecified. The patient tinnitus did not stop for 5 continuous days and sounds like tinnitus all the way. The patient visited the ENT on 10May2021 and the patient's ear was clear and there was no other physical damage whatsoever to the patient's ear and he did not have any problems in his ear before vaccinating with the Covid-19 vaccine. The reporter reported that the patient's tinnitus seems like it's louder and sound is very low and that the patient cannot do low sounds. The patient anxiety and headache are from the tinnitus. The reporter unable to provide NDC number or expiry date of the Covid-19 vaccine as it was not included on the patient's vaccination paperwork. The event Tinnitus resulted in Physician Office visit. The outcome of reported events was not recovered. Follow-Up (11May2021): Upon follow up, new information included: Time of vaccine administration details, Anatomical site location details, lot details, Reported seriousness of the event Tinnitus details. No follow-up attempts are needed. No further information is expected.

Systemic: Confusion-Mild, Systemic: Dizziness / Lightheadness-Mild, Systemic: Fainting / Unresponsive-Mild, Systemic: Flushed / Sweating-Mild, Systemic: Visual Changes/Disturbances-Mild, Systemic: Weakness-Mild, Additional Details: PATIENT 2ND DOSE VACCINE WAS AT 12 PM. PATIENT SAT IN OBSERVATION. BY 12:06 PATIENT STATES FEELING BLURRED EYE/DIZZY. HE THEN STOOD UP AND THEN COLLAPSED. 911 WAS CALLED IMMEDIATELY. PATIENT FAINTED FOR ABOUT 1/2 SECS. THEN GOT ON HIS KNEES. PATIENT WAS GIVEN WATER, WET TOWEL, AND A SNACK. BY THE TIME EMT ARRIVED PATIENT WAS "FINE". PULSE AND BP WAS NORMAL. PT DENIED ER. PTS DAD PICKED HIM UP 20 MINS LATER TO DRIVE HIM HOME. PATIENT STATED HE DID NOT EAT. POSSIBLE MAIN CAUSE.

TC to Client and spoke with patient. Patient received COVID 19 vaccine on 6/30/2021, at 1400. Around 11:00 pm, on 6/30/2021 symptoms started, feeling warm, chills, sweats, headache, body aches, joint pain, brain fog, dizziness, lightheaded, slight coughing episodes, swollen lymph nodes. Per patient, had one time episode of vomiting, having abdomen pain and mild diarrhea. Per patient, some symptoms have subsided, no follow up for medial treatment and has not taken any medications. No underlying medical condition, but is a former smoker, as of two weeks now. PHN recommend that Client follow up with PCP and to call 911 for medical emergency. Patient verbalized understanding information provided by PHN.

Starting around May 19: chest pain, occasional nightly sweating. assumed would pass Starting around May 24: Moderate pressure in the left ear and a rapidly worsening sensitive+swelling throat, chest pain, nightly sweating, frequent hot flashes throughout day Prescribed Prednisone 10MG as 5, 4, 3, 2, 1 each day. Taken as directed, minor improvement noticed Prescribed Doxycycline Hyclate 100MG 1 twice a day. Taken as directed, no improvement noticed Emergency visit 06/14/2021 for partially closure and hypersensitivity in throat noted at 2:18am. Emergency Oral surgery at noon for impacted wisdom tooth after discussing symptoms Prescribed Hydrocodone-acetamin 5-325MG 8 each day. Prescribed Ibuprofen 800MG 2 each day. Initially no notable improvement. After 9 days notable improvement to swelling Prescribed Amoxicillin 500MG 4 each day. Prescribed Hydrocod/APAP 5-325MG 6 each day. Notable improvement to swelling Prescribed Oxycod/APAP 5-325MG 6 each day (as alt for Hydrocod). Never taken After 1 week prescribed additional stereroid anti-inflamatory. Can't recall name Since 07/25/2021 and Currently: Severe pressure behind eyes and ears, worsening sensitive throat, runny nose, worsening cough, chest pain, nightly sweating, frequent hot flashes throughout day All symptoms of night sweat, chest, hot flash, sensitive throat, and ear pressure have been sustained from May. I just want to be healthy again please just help me figure out what the cause is I hope it has no relation to the vaccine I think its just chance I keep getting sick. But I don't get sick so it makes no sense! I've been sporadically out of work since vaccine for I believe over 5 weeks and it is incredibly disheartening

Chest pain issues have resolved mostly. The most debilitating thing to come after the vaccine was the onset of ringing, buzzing persistently in left ear, comes and goes in right ear. Started 2 weeks and 2 days after second dose of Pfizer vaccine, and after flying multiple times and started when I got back on the 13th of April 2021. It has remained constant but has improved slightly from where it was in the beginning, have been doing Hyperbaric Oxygen Therapy (five 1 hour sessions, spaced about a week-week and a half apart over the last 2 months to see if things improve). Things I would say have improved but I am running out of patience and financial means to keep going to a doctor. I feel helpless, depressional, work performance is awful, and lastly very suicidal than I have ever been. Just want to die.

Headache; prevented me from sleeping restfully; 100.5 F fever; This is a spontaneous report from a contactable consumer, the patient. A 24-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EN6204) via an unspecified route of administration in the left arm on 25Mar2021 at 13:45 (at the age of 24-years-old) as a single dose for COVID-19 immunisation. Medical history was not reported. Concomitant medications were reported as not applicable. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot number: EL9266) via an unspecified route of administration in the left arm on 04Feb2021 (at the age of 24-years-old) as a single dose for COVID-19 immunisation. Prior to vaccination, patient was not diagnosed with COVID-19. The patient did not receive any other vaccines within four weeks prior to the COVID-19 vaccine. Since the vaccination, patient had not been tested for COVID-19. On 25Mar2021 at 23:45, the patient had headache in the evening that prevented from sleeping restfully. The patient woke up with fever of 100.5F. The event did not result in doctor or other healthcare professional office/clinic visit, and emergency room/department or urgent care. The patient did not receive any treatment for the events. The clinical outcome of the events headache, sleep restless and fever was resolving at the time of this report. No follow-up attempts are needed. No further information is expected.

Symptoms: Chest tightness, pale face, nausea, stomach did not feel good, dizzy, light-headed, felt like blood sugar was dropping, "saw stars" Treatment: ate a quest bar, drank gatorade, took blood pressure (128/80), 911 was dailed when pt said he wanted to see a doctor, Outcome: paramedics declared pt can no longer get IMZ from a pharmacy. pt has to go to doctor's office. pt waited well over 30 mins to make sure he can leave

Has multiple blood clots; He had been feeling different for about a week since he got the second shot.; This is a spontaneous report from a contactable consumer. A 24-years-old male patient received second dose of bnt162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Lot number: unknown) via an unspecified route of administration, administered in upper right arm on 19Jun2021 at 12:00 (at the age of 24 years) as dose 2, single for covid-19 immunisation. The patient had no medical history and family medical history relevant to adverse events. Concomitant medications were not reported. The patient previously received first dose of bnt162b2 (Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Lot number was not reported) via an unspecified route of administration, in left arm on 29May2021 as dose 1, single for covid-19 immunisation. Patient had no additional vaccines administered on same date of the pfizer suspect and no prior vaccinations within 4 weeks. The reporter wanted to inform that the patient had a bad reaction to the Pfizer vaccine. On an unspecified date in 2021 patient experienced had multiple blood clots, he had been feeling different for about a week since he got the second shot. The patient was hospitalized for has multiple blood clots from 15Jul2021 to still in hospital. The blood clots were persisting and was not dissolving. On 18Jul2021 patient underwent lab tests which included CT scans, ultrasounds abdomen, and blood work waiting on results. Therapeutic measures were taken as a result of has multiple blood clots (thrombosis) includes treatment with IV Heparin. The outcome for event multiple blood clots was not recovered, and for feeling different for about a week it was unknown. Information about Lot/Batch number has been requested.

Started off with chills, headache and fatigue around 1am. I was also sweating profusely. I took my temp and it was 100.3. Was not able to sleep more than 4hours. I also had terrible nightmares during the little time I was asleep. I started to feel better around 11am that next morning however, I?ve had diffuse abdominal pain and several episodes of diarrhea throughout the afternoon and evening.

On December 16th, I received my 1st dose of the COVID-19 Pfizer vaccine at 11:49am. I was off of work for the remainder of the day and driving to an appointment at a different town. Between towns, during the drive fatigue settled in and I started to get drowsy. I switched seats and fell asleep for some time in the vehicle. I had fatigue for about 3-4 weeks following the 1st dose. On December 23rd, my symptoms started to get worse. Headaches increased, muscle pain/aches, chills, fatigue and this was the first day I had a temp of 100.4. I took some Tylenol and it made it bearable for me to continue to work throughout the day. From 12/20-26/2020, I kept feeling like I had a cold or the flu. Through the Holiday, I remained in bed and didn't have energy to do anything. I still had all the symptoms and decided on December 28th to call into work and get seen for a Telehealth. Some lab work were done and test results came back. I'm still working with my provider on figuring out what's going on with me.

Fatigue and transient fever (99.9) starting about 5-6 days following vaccine. Fatigue and brain fog persists on day 6.

Headache, Myalgia, Diarrhea, NauseaVomiting, chills, sweats Narrative: 1/9 employee woke up with a headache, chills and nausea. He threw up and felt better. Then he had sweats and diarrhea. He threw up 4 times throughout the day until about 3:00 in the afternoon. He called in sick for work. He also had minor aches and pains. He felt better on Sunday though he still had headache, body aches, sweats, and diarrhea. All symptoms resolved as of 1/11. He took tylenol and Nyquil which helped.

1/16/21 - 3:40 PM - Metallic taste in mouth 1/16/21 - 3:45 PM - Chills 1/16/21 - 3:50 PM - Neck / Back soreness 1/16/21 - 3:55 PM - Lightheadedness 1/16/21 - 6:45 PM Difficulty Breathing / Lung Pain, tiredness 1/17/21 - Arm / Body pain, difficulty sleeping, tiredness 1/18/21 - Arm / Body pain, difficulty sleeping, tiredness 1/19/21 - Full body aches, arm pain, lightheadedness, dizziness, tiredness

Severe apneic episodes with sleep. I have no history of sleep apnea, BMI of 24, exercise regularly, no known snoring. The night after my first dose at around 23:00 while falling asleep I shortly after having been asleep would wake up gasping for air. Attempting to fall back asleep I felt the need to consciously make myself breathe, and when I would fall asleep no more than 5-10 after I would wake up gasping for air. This continued on until around close to 03:00 on 1/7/21. When I finally fell asleep around 03:00 woke up gasping for air around 04:45 and never fell back asleep. The next two nights, 1/7/21 and 1/8/21 I would have trouble falling asleep because these same apneic episodes were happening until around 03:00. The night of 1/9/21 I had no issues sleeping, and have had no apnea since those three nights. These apneic episodes were followed by extreme anxiety from being unable to sleep fully (I worried moreso about not falling asleep than the apnea). Heart rate when counted ranged for 70s-80s and my normal HR while sleeping is around low 50s.

Body aches, Awakening Shortness of Air around 0345, became cold quickly, unable to get warm, started to shake and shiver, then was super hot, began to have some sort of out of body phenomenon or hallucination, felt like was about to pass out but was able to sit up and check temperature and discovered a temperature of 103.5 at around 0600. Was able to take Tylenol around 0630 and take shower. Remained weak and exhausted until 1000hours on 1/27. Left arm has pain around injection site.

Intense exhaustion, to the point of impaired function, long before normal bed time. I reported this same symptom after the previous injection.

I received the 2nd dose of my Pfizer COVID-19 vaccine on 01/25/2021 at ~7:30am, at around 2:00pm I noticed I had generalized fatigue, a general sense of feeling cold, and the muscles in the back of my neck were sore, which was causing a tension-like headache. The fatigue gradually increased throughout the day. I attempted to go to bed around 11:00pm and I was so cold my entire body was shivering to a point where my whole body was shaking. I also began noticing muscle cramps throughout my body as well, primarily located in my calves. Eventually fell asleep around 2:00am (symptoms were preventing me from falling asleep), when waking up noticed the symptoms had resolved.

Patient c/o rapid heart rate 5 minutes after recieving first covid vaccine. States no h/o allergic reaction to any previous vaccines or medications. Denied any feeling of swelling, shortness of breath. Stated he has a h/o anxiety and was very anxious about vaccine.

Complained of "rush in my head/front of head" at 9:15am on 2/12/2021. At 11am, no longer complaining of "rush" feeling, but now reporting fatigue. At 11:34am same day, reported feeling much better and symptoms improved.

Subjective: 25 yrs old presents with fever, chills, and malaise x 24 hours after receiving a first dose of COVID vaccine yesterday and an MMR booster on the day before. He states he has not had a COVID infection to his knowledge, despite working on the COVID unit at the clinic. Member admits to nausea, fever, chills, hallucination, and malaise. Denies HA, cp, sob, abdominal pain, diarrhea, dysuria, or LE swelling. A/P: 1. Adverse effect of other viral vaccines, initial encounter Plan/Comment(s): - 25 yo presents with what is likely a normal adverse reaction in a patient that has been exposed or infected by Coronavirus 19 in the past. He likely contracted the virus while working 2 months on the COVID ward at Clinic, which would be considered an asymptomatic infection. He denies having symptoms of COVID. While he did have an MMR booster the day before receiving the COVID vaccine dose #1, it was my opinion that because of his age and health status at the time of the screening, he was clear to receive the first dose of the COVID vaccine. I did consider possibility of cytokine storm, having been given two vaccines in such close intervals, but again he is young, healthy, and denied having COVID infection in the past, and he did not exhibit any adverse reactions to the MMR booster. I anticipate his condition will be self-limiting and the SM will return to full duty in 48 hours. Reference: 11) Have you received any vaccine in the past 14 days or plan to receive any vaccine in the next 14 days? Currently there is no data on safety or efficacy of a COVID-19 vaccine administered with other vaccines, however, the agency recommends that COVID-19 vaccines be administered alone with a minimum interval of 14 days before or after administration with any other vaccines. Vaccines required for post-exposure prophylaxis (e.g., rabies vaccine) may be administered within the 14-day period. ***************Additionally, providers and patients can consider other vaccines, including the influenza vaccine, within the 14-day window on a case-by-case basis with shared clinical decision-making for Health Protection and other important co-administration vaccination needs.************ - will Rx Zofran - will Rx Tylenol - will Rx Motrin - SIQ 48 hours - Patient counseled on dx, tx, and plan; pt understands and concurs

hours ago and about 45 minutes after the vaccine developed diffuse body numbness. Denies weakness denies chest pain shortness of breath nausea vomiting diarrhea he states he has about 3 out of 10 numbness he still feels some things but states it doesn't feel normal. It is diffuse all extremities and his face.

Shortness of breath x 10 min, pt discloses having anxiety in certain public places and have these type of 'attacks", V/S normal. Observed for another 15 min, pt recovered and was released by doctor on duty.

Individual in recovery monitoring, approx after 5 minutes, individual had a syncopal episode and fell from a sitting position in a chair to the floor. Individual hit side of head/face on floor, recovered but dazed. Evaluated by paramedics, refused transport.

Within 2 minutes following injection, grew pale, clammy, dizzy, and also had tonic contraction (fanning) of fingers. Client hyperventilating- was helped to a cot, elevated legs. Mask removed for ease of breathing. Was offered food and water, which he took- hands softened within 7-8" and color returned to face and arms within approximately 12 minutes. Had some food and water, which he stated helped. He felt he was dehydrated, hungry, and fearful. Never had episode of fainting or dizziness in the past.

Client reports that he had a rash after first dose that was on his chest, neck, arms, legs and had a tongue were swollen within 15 minutes and received 25 mg of Benadryl. Client reports it took 2 days for the rash to dissipate. Client reports felling out of it for 2 days. Client states he has had an off and on temperature. Client reports an acne or small hives on chest on arms and back and his face is splotchy still today. Client reports a hypersensitivity sensation in last couple of years going thru diagnosis now.

Around 6 pm the same day of first pfizer vaccine (3/18/21), i woke up from a nap and my back hurt so bad that i couldn't leave the bed without falling out. My parents came and helped me out and gave me painkillers but really nothing helped. Next day, it started down my right arm (the arm NOT injected with the shot) and it started to hurt in my muscles everywhere and hasn't stopped to this day (3/25/21). Numbness and pins and needles feeling have occurred in my pinky and ring finger of right arm. Pain has now started in my knees as well after a few days from the shot. No pain killers work and I'm unable to write or type properly, or even work at my job frankly. I can't hold an object without it falling out of my hand, and when i am able to hold something, after about 2 seconds pain fills my arm. Nothing helps the pain. I saw my primary care physician on 3/25/21 and the PA said there wasn't anything to do for the intense pain i was having except take tylenol arthritis, melatonin (to help me sleep through the pain), exercise (even though it may cause me even worse pain), and a stress ball for my arm. I don't know what else to do with this pain and this was only the first round of shots.

Patient came to the Walk in Vaccination clinic and stated he is an essential personal . After receiving his vaccine, patient reported feeling ?tingling in his throat? and feeling anxious. patient was taken by RN to our first aid area and asked to sit down. Patient denied shortness of breath or any other symptoms except tingling in his throat. Patient reported that he has no allergies to medications or foods but has a history of anxiety and stopped taking his medication 1 month ago. B/P was elevated 181/90, P 100 Pulse ox 100%, T 98.1. Patient refused an epi pen and asked to remain lying down so he could calm down . LVN Rechecked patient vitals in 15 min . Results were 124/88 , pulse ox 100%, T WNL. Patient stated he no longer felt tingling in his throat and denied any . Pt was advised to wait an additional 15 min before heading home .

Adverse event started the morning of 3/10/21 around 08:00 am. Symptoms included headache, fatigue, brain fog, memory issues, feeling feverish, and itching on torso, arms, and legs . Symptoms seemed to improve over the next week or two before worsening again on 3/27/21 around 10:00 am. On the day of 3/27 /21 I experienced headaches, fatigue, brain fog, memory issues, muscle aches, diarrhea, and vision problems. Currently on 3/30/21 symptoms have improved but I am still experiencing dull headaches and brain fog, as well as itching on torso, arms and legs and some vision problems. I have not seen a provider for these issues but have an appointment scheduled for 3/31/21. Treatment includes ibuprofen as needed.

High levels of unsteadiness, vertigo, and brain fog. Treatment includes vestibular exercise therapy and dramamine. Symptoms worsen over the course of the day and are triggered by movement.

At 10pm on the date of vaccine. Started having night sweats. Started feeling SOB. Went to sleep and sleep was restless. Next day woke up and felt body aches. Forced self out of bed . Had stomach pain, loss of appetite. Had a bloody nose twice that day. Extremely fatigued through the day. Also experienced ringing in the ears intermittently since that day and hasn't resolved since it started.

After sitting down in the observation area, pt reports feeling extremely warm, diaphoretic, anxious, and had tinittis. Pt denied trouble speaking, swallowing, breathing, etc. He denied pruritis. We layed pt down and instructed him to rise slowly when he felt comfortable. He was given an ice pack and juice and crackers. Pt felt okay when he left.

Approximately 13 hours after receiving the vaccination, I started to experience a bit of confusion and then uncontrollable chills for about a half hour. I then started to experience a low grade fever. After sleeping through the night I woke up with a strong headache and nausea and continuation of the fever. Symptoms continued for the rest of the day including exhaustion. The symptoms eventually subsided in the late afternoon.

Reported fever, chills, chest pain, sweating, body aches, fatigue, and confusion 4/2/21-4/3/21. Symptoms resolve by 4/4/21. Right rib/flank pain started 4/6/21, rated 2/10, increased in frequency today 4/7/21.

The client experienced mild nausea and anxiety 5 minutes after receiving his first Pfizer covid vaccine. He left observation after 15 minutes at 1345 with no treatment, except bottled water. An hour later at 1445 the client returned to Observation c/o increasing nausea and vomiting. At this time, I administered 50 mg IM benadryl to the client. The client waited in observation for 30 additional minutes and left at 1515. At this time of departure, the client had no signs or symptoms of N/V.

Systemic: Confusion-Medium, Systemic: Dizziness / Lightheadness-Severe, Systemic: Fainting / Unresponsive-Severe, Systemic: Flushed / Sweating-Severe, Systemic: Headache-Severe, Additional Details: Within 5 minutes of receiving COVID vaccine, patient just collapsed to the floor. For about 30 seconds patient was unresponsive to name. Upon awakening, patient was very confused and reported severe headache and dizziness. 911 was called and patient was escorted

Sore left shoulder immediately, Sore left leg hours later Unable to sleep soundly, began to become feverish over night Difficulty moving in the morning, severe aches all over body Specifically my thighs incredibly achy, felt like bones were hot, by the late morning, Took a hot bath to relax, reduce pain, worked, but became very faint Took Tylenol and Ibuprofen, ate lunch, rested, slowly felt better by evening, slept, and was perfectly fine the next morning 48 hours later

Redness at injection site, pain when moving injected arm, high level of fatigue, inability to get restful sleep, body aches, crying with no recognized physical or emotional cause

Vaccine was give at 10:35 . At 1040 patient c/o feeling warm at injection site, tired , dizzy and anxious. At 10:50 am Vital signs included 160/100, 126, 19, at 99%RA. Pt. Was helped to lay down in a supine position with legs eleveted. At 10:56 vitals were 140/90, 83, 20, 99%RA. Cold ice pack was applied at the back of his neck. At 11:15 am symptoms subsided with BP of 130 /85.

Client received first dose of vaccine @2:52pm. At 3:16pm client alerted EMT he was not feeling well, stated he "felt like he was shutting down". Client lost consciousness while EMTs supported him upright in chair. Client had convulsions for 5 seconds and was unconscious for approximately 20 seconds. Once client regained consciousness he was assisted to zero-gravity chair, alert and oriented. Client was pale and diaphoretic, no trouble breathing, able to talk and answer questions. Client denies having any seizure activity in past, denies medical conditions, not taking medication, no allergies. EMS was called by lead RN @ 3:30pm, arrived on scene @ 3:40pm. EMS completed assessment, made client aware everything appeared normal, offered to take patient to hospital, client declined. Client made aware to follow up with his primary care and when to call 911. Client's girlfriend and family present, client able to walk out with steady gait. Client left @ 3:50pm.

Dizzy, shortly after, goes away after a few hours. Sore arm, exercise helps and goes away in about a day Headache, 8-12 hours after. Goes away the next day. Intense Nightmares, the night after the second dose

9 hours after the shot I started to feel really groggy and sore with my left arm hurting. 12 hours in I started to feel like I had a fever so i checked it and it was 102 degree F, I was also unable to pick my left arm up due to the pain and my whole body hurt a lot. 13 hours in at about 10 pm that night I started full-body shaking violently and needed help from my parents into my room because I could not walk because my legs were wobbling so much. I felt lightheaded and the shaking continued for about 20 minutes. During this time I checked my temp again and it was 105 degrees F. Once the shaking stopped the fever and intense pain continued until 2 am when it dropped down to 102 degrees F and I was able to fall asleep. The next morning I woke at 8am with a temp of 100 degree F with the same all-over-body pain that lasted all day but the fever dropped until that night. That night it came back at 100 degrees F. This cycle lasted from when I got my shot on the 1st until 4th when the fever stopped. The pain has subsided around the 6th. But I am currently still having pain in my left shoulder where I got my shot today on the 8th.

Had first pfizer covid vaccine 9 days prior and was informed that it was no good and to come back for another shot; became very sick; flu like symptoms; vomiting; extreme body aches and pains; fever; Was unable to sleep entire first night; Had first pfizer covid vaccine 9 days prior and was informed that it was no good and to come back for another shot; This is a spontaneous report from a contactable consumer. This consumer (patient's parent) reported for a 25-year-old son (patient). A 25-year-old male patient received the second dose of BNT162B2 PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EW0153) via unspecified route on arm left at a single dose on 16Apr2021 14:45 for COVID-19 immunization. There was no history of allergies to medications, food, or other products allergy. The patient had no relevant medical history. Concomitant medication was not reported. The historical vaccine patient received first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Formulation: Solution for injection, lot number: EW0164) via unspecified route on arm left at a single dose on 07Apr2021 14:45 for COVID-19 immunization. The patient receives first covid vaccine 9 days prior within 2 weeks of vaccination. The patient did not receive any other vaccines within 4 weeks prior to the COVID vaccine. The patient was not diagnosed with COVID-19 prior to vaccination. The patient was not tested for COVID-19 since the vaccination. On 07Apr2021 patient received first shot and was notified that the clinic mishandled vaccine and was advised by dep of health to get another shot and upon arrival informed staff he received bad dose on 7 April and they advised to get another shot on 16 April. On 16Apr2021 patient received second shot and within 8 hours became very sick with flu like symptoms including vomiting, extreme body aches and pains along with fever. Was unable to sleep entire first night and by 6AM started feeling better. The clinical outcome of the events reported as recovering. No follow-up attempts are needed. No further information is expected. Follow-up: (22Apr2021) This is a follow-up spontaneous report received in response to the mail trail sent regarding the confirmation of event onset date. Reporter received the information at 7:30 on 17April2021. No follow-up attempts are needed. No further information is expected.

Pt reported feeling dizzy and experienced visual changes while seated about 10 minutes after receiving his first dose. Pt stated that he wanted to check his blood pressure because he felt like it was high. Pt had no medical hx. Pt?s vitals were obtained. All were within normal limits excluding blood pressure, which was slightly elevated. Pt refused medical care and transport. Pt was advised to call 911 if symptoms worsened. Pt signed AMA paperwork. Pt stated that he felt much better and was comfortable walking to his car with his family.

Severe tinnitus several days after receiving the first vaccine dose. Tinnitus is accompanied by tension headaches and brain fog.

Currently suffering from symptoms indicative of brain damage, namely new anxiety, mood changes, some occasional headaches, mild brain fog, and insomnia (have not slept for more than 4-5 hours injection date. Also have messed up sense of temperature, as well as occasional aches. Also had soreness in jabbed arm as well as inflammation in said arm.

PATIENT WAS IN OBSERVATION AREA AFTER BEING VACCINATED. HE CALLED FOR HELP STATING THAT HE WAS HAVING SOME LABOR BREATHING, NUMBNESS OF HAND AND FEELING HOT. PATIENT TOOK SOME SIP OF COLD WATER THAT WE OFFERED BUT NOT GETTING ANY RELIEF. HE CONTINUED TO PANIC SO WE CALLED THE AMBULANCE. WHILE WAITING , HE WAS ASSISTED TO LAY DOWN ON THE SIDE ON THE FLOOR. THE PARAMADIC CAME AND ASSESSED THAT HE WAS JUST PANICKING.

He became very confused about time, went into the bathroom to brush his teeth 2 days after his 1st Pfizer shot and would not stop brushing his teeth for 30 hours. His parents tried to get him to stop several times. He only stopped because his parents finally called 911 to have someone help remove him from the bathroom. His gums were bleeding and he was limping a bit from standing at the sink brushing his teeth for so long. He was taken to the ER, his vitals looked good overall but he was dehydrated. Hospital could not explain why he did that, what was happening inside his brain. He could also not explain why he did that when asked. Very upsetting for his parents and siblings who felt they had no control over stopping him. It was mentioned he might need a neurological specialist. He improved once home. Seems he got very confused about time, did not understand how long he had been brushing his teeth and could not be reasoned with. He mentioned in the car on the way home from the ER with his dad that he still needed to brush his teeth once home. This scared his dad and his dad took him to go eat a meal outside of the home and that seemed to break up the time loop in patient's head. When they returned home patient no longer tried to brush his teeth for a long period of time.

-- Myocarditis, i.e. inflammation of the heart myuscle and area surrounding the heart -- Inflammation/pressure around my ears/head, leading to headaches/dizziness/disorientation I have confirmed this with both my primary care doctor and my cardiologist. It has been 3 weeks and I am not feeling better at all. I have a pounding heartbeat, and a pounding headache. At this point the vaccine has been worse than the disease itself. I hope you stop misleading the public and communicate that myocarditis and severe inflammation IS 100% A SIDE EFFECT THAT IS CAUSED BY THE VACCINE RESPONSE. I know because I am experiencing it, and you've ruined the last 24 days of my life. Thank you.

Intense shivering followed by 2 hours and continuing of a hard, pounding heartbeat that will not relax. Have been drinking plenty of water no probably not dehydration. Had a very similar weird reaction to a muscle relaxer I cannot remember the name of about a year ago. Oth instances have occurred at night. Heartbeat seema stable, just fast and so hard that I can feel it pulsing up my neck.

Patient became lightheaded and sweaty. Patient described event as a panic attack, as this occurs with lab draws. Patient given apple juice. Patient then able to tolerate sitting, standing and ambulating with no issues.

throat fell really tight. They told him was throat was closing up.; Anaphylaxis/anaphylactic shock/severe allergic reaction; Swelling of the throat/throat was swelling; Trouble breathing; Itchy throat; Said that his throat felt really thirsty.; He is very upset./He is pretty devastated.; His throat started to do it again.; They said maybe it was something he ate or maybe sinuses; This is spontaneous report from contactable consumer (patient) and contactable consumer (patient's mother). A 25-year-old male patient received the first dose for BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, Lot No. EWO187) at single dose for COVID-19 immunization on 19May2021 at 12:00 or 13:00. Relevant history included Diabetes, obesity, endocrine abnormalities, genetic/chromosomal abnormalities, respiratory illness, compromised immune status and Allergies. The patient had Allergies to non-steroidal anti-inflammatory drugs that can induce anaphylactic shock, severe reaction, swelling of face and throat. Relevant concomitant drug was unknown. No history of all previous immunization with the Pfizer vaccine considered as suspect. No Additional Vaccines were Administered on Same Date of the Pfizer Suspect If applicable. No Vaccines were Administered prior vaccinations (within 4 weeks). Family Medical History was none. About 3-5 minutes after being administered the Vaccine, the patient immediately developed anaphylactic shock. He was transported via ambulance to the Emergency Room on 19May2021 where he verified he was admitted to the hospital Emergency room for about 5-6 hours and discharged from the hospital the same day, 19May2021. He was told not to get any additional doses. He was still having swelling of the throat and went back to the ER today and was given a steroid prednisone 40mg a day for 5 days. He was advised to take benadryl also. He said he didn't get any IVs or anything. He had a past medical history of anaphylactic reaction to NSAIDS. He has been advised not to get the second dose. The patient stated the anaphylactic shock occurred with trouble breathing, throat was swelling and itchy throat. He did go into ER, they told him to just keep drinking fluids, that there was nothing else they could really do. When he was seen in the emergency room they gave him Benadryl and a steroid: Prednisone for now which he is on for the next couple of days. He was told that after 2 days or something, that after getting injected that he wouldn't have any symptoms-but he is still having those pretty severe symptoms of anaphylactic shock. Initial onset of anaphylactic shock was about 3-5 minutes after Pfizer Covid Vaccine shot was administered. Within 10-15 minutes he had swelling of tongue and throat and difficulty breathing. They called an ambulance, the ambulance took him to the Hospital emergency room where he was admitted and discharged that same date on 19May2021 after about 5-6 hours; he reported discharge time was around 16:40. They told him to come back if he had any issues that occurred over next couple of days or worsening or causing problems; to call back the nurses line. He was on a lot of Benadryl, a lot of antihistamines. When he gets off the antihistamines almost all the allergic reactions of the anaphylactic shock reoccur. This morning, 21May2021, he didn't take any Bendaryl before bed, and this morning when he woke up he was alright. After being at work like 30 minutes he felt the itchiness; scratchy throat; swelling of tongue; a little swelling of the throat; difficulty breathing. He took Benadryl and called the hotline who told him to call the Emergency room, he called the emergency room and went there. He talked to them this morning because he went to work and had issues breathing. He called and they told him to come in asap, so he went in to the emergency room; they gave him Benadryl and told him there was nothing else they could do other than him taking the steroid: Prednisone. The patient was in the hospital 3 days and will be day 4 tomorrow. He was trying to figure out how long this will last. They told him to talk to his doctor. They basically told him they were not responsible. The patient's mother reported that her son received the shot Wed 19May2021. Does not know if the Walgreen's reported this. He left there in an ambulance within 10 minutes of getting the shot. They took him to the emergency room and he got mixed information. He went back again today. They blew him off and told him maybe it was something he ate. She assumed that an allergic reaction would be about 24 hours but this is day 3. She is scared he may be taking too much Benadryl. He said he felt like he needed something to drink. Said that his throat felt really thirsty. He went back inside since his throat fell really tight. They told him was throat was closing up. They saw that his throat was swollen and they called the paramedics. Within 15 minutes they came and brought him to the emergency room. Nobody had given him Epi. They were going to give it to him an Epi pen but he wanted to wait for the paramedics. He was freaking out. The paramedics showed up and they were unable to give him Epi, stating he didn't have hives. He only received Benadryl. They he had to have to give him extra Benadryl because whatever they gave him in the IV because the first didn't work and his throat was still closing up. It made him feel like a drug addict asking for Benadryl. She was not sure if they gave him Benadryl in the ambulance, knows that it was given in the emergency room. The Benadryl may have been started in the ambulance but she is not sure. They did give him oxygen in the ambulance. Clarified he was in the ER over 4 hours, but was not admitted to the hospital. They gave him steroids but forgot to send him home with steroids. He had to call to find out about getting them and they told him they forgot to send the prescription in. He was late starting the next dose of steroids. He went back to the ER today, day 3. He didn't feel too bad today and went to work. After exerting a little energy and moving around, his throat started to do it again. He didn't have Benadryl on him. He left work because he thought it was going to close up again the day he got the shot. Once he calmed down, he took Benadryl. He called the hospital to ask if this was normal. He was told that it is not normal and was told that if he still felt bad, to come to the hospital. They said maybe it was something he ate or maybe sinuses. He spoke to one of the doctors. They had never shown him how to use an ePi pen. He does not know how long this will last. He gets scared. Treatment: Has only been taking Benadryl. He started the steroids yesterday and today. They had given him Benadryl today in the ER and he is home now. The patient visited to the Emergency room twice, first time by ambulance, confirmed he was not admitted. He was pretty devastated. The outcome of events was unknown.

Woke up in the middle of the night with sharp chest pain. Went to the ER and was diagnosed with costochondritis. I recovered within a few days just medicating with advil and tylenol. I am reporting this incident because I have seen reports from the CDC about cases of myocondritis occuring after vaccination, and symptoms very similar to what I experienced. https://www.cdc.gov/coronavirus/2019-ncov/vaccines/safety/myocarditis.html

Immediate reaction of arms tingling and nausea/vomiting. Basic vaccine symptoms the first week including headache, nausea, fever. After about a week, COVID fog/fatigue symptoms began. It is currently 6 weeks later and I have fatigue, shortness of breath, head pressure, double vision, cannot concentrate for any length of time and dizziness/unsteadiness. I have not been able to go to work since the vaccination and have people helping take care of me. I cannot take a shower without being short of breath after. I have been put on 2 different rounds of steroids ? the 2nd more aggressive, which did not make a difference. I have been to my general doctor several times, an allergist and a neurologist. I have had extensive bloodwork, an MRI, and an EKG ? all were normal. My symptoms have not improved at all in the past 3-4 weeks.

Patient walked out of vaccination room to sit and wait for 15 minutes. He fainted while sitting and fell to the floor. Patient came to and was dazed at first. Talked to him for a few minutes and he stated he had a fear of needles/shots. Had patient wait another 15 minutes to make sure he was ok to leave. EMS was called but patient declined treatment. Event occurred minutes after the vaccine was given.

Fever, (temperature not taken mother was asleep at 2 am) Chills, Headache, Chest Pain, Insomnia, Feeling of weightlessness, onset at 2 am bedridden Tylenol given at 6 pm 6/16/21

getting good sleep, but he's absolutely exhausted all day; feeling absolutely terrible; under his left armpit, there's a bump and it's super sore; his whole armpit and chest area has been sore out of no where for a few days; his whole armpit and chest area has been sore out of no where for a few days; This is a spontaneous report from a contactable consumer (Patient). A 25-year-old male patient received second dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number was not reported), via an unspecified route of administration on 07Jun2021 (at the age of 25-years-old) as, single dose for COVID-19 immunisation. The patient medical history and concomitant medications were not reported. The details about patient history and other products were not provided. The patient previously took first dose of BNT162B2 (PFIZER-BIONTECH COVID-19 VACCINE, formulation: solution for injection, Lot number was not reported) on an unspecified date as single dose for COVID-19 Immunization and experienced the left arm was so sore after the first one but the soreness went away after a few days. On unspecified date, patient was getting good sleep, but he is absolutely exhausted all day. Patient stated that under his left armpit, there was a bump and its super sore and his whole armpit and chest area has been sore out of nowhere and its been for a few days. It was reported that the patient got his second dose of the Pfizer vaccine this Monday, it's now Thursday morning and he is honestly just feeling absolutely terrible and he just wants to make sure this was normal. Patient stated that he has other symptoms he is getting concerned about at this point, it's been a few days since he started having them. Patient stated that he honestly feels terrible, he cannot physically do anything. Patient stated that he was actually going to a doctor's appointment in 15 minutes and stated he will call back at a later time, he just wanted to know if what he was feeling was normal or if he needs to seek further medical advice and confirms it was the Pfizer Covid vaccine that he was speaking of and received. The outcome of the events was reported as unknown Information about lot/batch number has been requested.

Pain and tightness in chest. Inability to speak during pain. Need to stretch chest and no deep breaths. Could not do anything to tighten chest. No doctor visit improved in 2 days

Over a month after receiving my second dose of Pfizer, I had an episode of lightheadedness, dizziness, shakiness, and fatigue. I attributed it to dehydration and laid down and ate a snack, I began to feel better after 1-2 hours. A week later I had another lightheadedness incident that sent me back to bed (this one being slightly worse). I experience slight chest pain in my upper right chest muscle. It took me a day to recover from this spell. I constantly felt weak and as if I was about to faint. I went to the doctor two days later and got blood work done and measured my blood pressure. Everything came back normal. On Saturday June 19th, I had another near-fainting experience in a public setting. My hearing changed, I couldn't think straight, I was very shaky and weak, and I tried to drink a lot of water. Nothing helped so I went home and once I got in bed I was aggressively shaking. Since then I have been bed-ridden for the week, and unable to do normal activities such as go for walks, exercise, or go to work. I am going to visit a cardiologist tomorrow.

Dizziness; headache; Multiple bouts of sleep paralysis and sense of impending doom throughout the night; Multiple bouts of sleep paralysis and sense of impending doom throughout the night; This is a spontaneous report from a non-contactable Other-HCP. A 25-year-old male patient received bnt162b2 (BNT162B2 Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Lot number: EL9265, Expiration date: unknown), dose 2 intramuscular, administered in Arm Left on 04Feb2021 17:45 as 2nd dose, single for covid-19 immunization. Medical history included food Allergic to shellfish from an unknown date. The patient previously received the first dose of bnt162b2 (BNT162B2 Pfizer-BioNTech Covid-19 mRNA Vaccine, Solution for injection, Lot number: unknown, Expiration date: unknown), dose 1. No other vaccine in four weeks. No covid prior vaccination. No covid tested post vaccination. No other medications in two weeks. On 04Feb2021 20:30 about three hours post-vaccination the patient experienced dizziness, went to bed around that time and woke up several times throughout the night with dizziness and headache, multiple bouts of sleep paralysis and sense of impending doom throughout the night (both personally very abnormal). No treatment received. The outcome of all events was recovered on an unspecified date in Feb2021 with lasting effects. No follow-up attempts are possible. No further information is expected.

I started of with typical fever, body aches, and fever. That started about 12 hours after shot that last about 48hours. About 72 hours I developed a cough I couldn't sleep, it was a dry cough, it was painful. I went to the med clinic they ran test and prescribed me antibiotics and sent me home. The antibiotics did nothing for me . My cough persisted for 7 to 12 days.

Patient received first dose of Pfizer vaccine in left arm at 1128 06/29/2021. Patient stated he was very nervous to get his vaccine when he arrived. Patient was sitting in observation when he stood up to alert someone he was dizzy. Patient started to lose consciousness while a nurse was able to catch him and lower him to the ground safely. The patient's legs were elevated and patient regained consciousness. Blood pressure taken at 1130 and was 105/55 with a HR between 46/52 BPM. The second BP was taken after the patient sat up. At that time, he was 124/64. The patient verbalized that he hadn't eaten anything that day, so staff got him apple juice and crackers which he started to eat/drink immediately. The third blood pressure was 146/68. At this time, the patient verbalized he felt safe to sit in a chair. All blood pressures taken on left arm. Patient denies any dizziness at this time. Additional vitals BP 128/81, HR 57 -- > 126/77, 59 prior to D/C. Pt stable and released from the vaccination site.

Severe headache, the day following the administration of the second dose.; Fever, the day following the administration of the second dose.; Joint pain, the day following the administration of the second dose.; Body aches, the day following the administration of the second dose.; Radical change in my temperament/ Intense rage, the following week.; Irritable; This is a spontaneous report from a non-contactable consumer, the patient. A 25-year-old male patient received second dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration in right arm in Mar2021 (at the age of 25-years-old) as a single dose for COVID-19 immunisation. The patients medical history was not reported. The patient had not been diagnosed with COVID-19 prior to the vaccination. The patient had not tested for COVID-19 since the vaccination. The patient previously received first dose of BNT162b2 (PFIZER-BIONTECH COVID-19 mRNA VACCINE; Lot Number: UNKNOWN), via an unspecified route of administration on an unknown date in Feb2021 as a single dose for COVID-19 immunisation. On an unknown date in Mar2021, the day following the second dose, the patient had experienced severe headache, fever, join pain and body aches. The following week, the patient had experienced anger/rage and irritability. The patient had noticed a radical change in his temperament. The patient was then very irritable, and prone to fits of intense rage. The patient never had anger issues in the past, or and any other psychiatric issues. The patient was hoping this as temporary issue, but right then, it was quite debilitating. The patient did not receive any treatment for the events. The clinical outcome of all the events headache, fever, join pain body aches, anger/rage and irritability was not recovered at the time of report. No follow-up attempts are possible; information about lot/batch number cannot be obtained.

Incoming TC from patient, reporting possible COVID-19 side effects / adverse reaction: Patient called in reporting difficulty breathing, rapid heartbeat, chest tightness, dizziness when walking ""had to hold onto my dad's shoulder while walking so I don't faint, I feel anxious like something is going to happen."" Reports received 2nd dose Pfizer 5/07 felt "okay" afterwards. Starting 1 week ago 5/18 started to rapid heartbeat, anxious, even at rest. States HR is 78 O2 sat 98%. Was seen at a clinic 1 week ago, EKG performed WNL. Advised to call 911, or seek emergency care. Pt stated he will have his dad drive him toER.

Cold sores, Severe Pain upper arm, High Fever, Cough, Sneezing, Runny nose, Malaise, Mucus congestion, Feeling of impeding Doom